Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,945.00 / $20,135.00	Facility		$1,992.00	$7,945.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.15 / $600.07 / $1,572.06	Professional		$512.15	$600.07	$1,572.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,043.00 / $18,150.00	Facility		$3,294.00	$9,043.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.52 / $1,070.69 / $2,112.06	Professional		$768.52	$1,070.69	$2,112.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,419.62	Facility		$66.00	$100.00	$10,419.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $464.67 / $713.91 / $1,623.27	Professional		$464.67	$713.91	$1,623.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.95 / $3,801.95 / $4,493.21	Facility		$3,801.95	$3,801.95	$4,493.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.50 / $887.34 / $2,182.81	Professional		$598.50	$887.34	$2,182.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $618.02 / $779.37 / $4,219.54	Professional		$618.02	$779.37	$4,219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.42 / $876.90 / $1,626.50	Professional		$695.42	$876.90	$1,626.50
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,821.81 / $17,070.15 / $26,542.00	Facility		$4,821.81	$17,070.15	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $180.74 / $1,618.01 / $1,618.01	Facility	AS	$180.74	$1,618.01	$1,618.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,209.04 / $5,349.84 / $6,354.15	Professional		$5,209.04	$5,349.84	$6,354.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $720.12 / $900.57 / $1,241.18	Facility		$720.12	$900.57	$1,241.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.49 / $891.11 / $2,075.29	Professional		$616.49	$891.11	$2,075.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,396.21 / $2,396.21 / $2,396.21	Professional		$2,396.21	$2,396.21	$2,396.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $618.02 / $856.33 / $1,169.06	Professional		$618.02	$856.33	$1,169.06
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $32,191.00	Facility		$7,696.00	$13,784.00	$32,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.19 / $834.86 / $1,965.22	Professional		$593.19	$834.86	$1,965.22