Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,025.60 / $16,982.44	Facility		$1,412.54	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $1,949.84	Professional		$323.59	$549.54	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,202.26	Professional		$407.38	$602.56	$1,202.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,311.31 / $8,317.64	Facility		$66.07	$3,311.31	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,230.27	Professional		$380.19	$630.96	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,122.02	Professional		$398.11	$602.56	$1,122.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $489.78 / $1,000.00	Professional		$234.42	$489.78	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $1,122.02	Professional		$389.05	$616.60	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $28,840.32	Facility		$8,912.51	$8,912.51	$28,840.32
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $4,786.30	Professional		$4,073.80	$4,786.30	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $794.33	Professional		$478.63	$478.63	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $602.56 / $977.24	Facility		$398.11	$602.56	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,174.90	Professional		$398.11	$616.60	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,905.46	Professional		$1,258.93	$1,258.93	$1,905.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $645.65	Professional		$295.12	$407.38	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $1,000.00	Professional		$331.13	$489.78	$1,000.00