Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,827.05 / $2,827.05 / $69,224.80	Facility		$2,827.05	$2,827.05	$69,224.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,967.76 / $2,827.05 / $69,224.80	Professional		$1,967.76	$2,827.05	$69,224.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,445.00 / $9,260.00 / $17,774.00	Facility		$3,445.00	$9,260.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.57 / $12,624.55 / $30,630.24	Professional		$743.57	$12,624.55	$30,630.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4,062.37 / $7,900.99 / $17,708.50	Facility		$4,062.37	$7,900.99	$17,708.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $575.16 / $5,526.32 / $22,928.23	Professional		$575.16	$5,526.32	$22,928.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.04 / $1,107.68 / $18,769.34	Professional		$768.04	$1,107.68	$18,769.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $441.18 / $613.70 / $12,231.65	Professional		$441.18	$613.70	$12,231.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.60 / $4,027.00 / $13,299.00	Professional		$493.60	$4,027.00	$13,299.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,735.73 / $13,794.07	Facility		$55.00	$12,735.73	$13,794.07
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $122.79 / $235.61 / $235.61	Facility	AS	$122.79	$235.61	$235.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,571.80 / $55,711.16 / $63,971.70	Professional		$28,571.80	$55,711.16	$63,971.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.29 / $1,225.44 / $14,356.11	Facility		$562.29	$1,225.44	$14,356.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $493.60 / $1,474.18 / $23,136.38	Professional		$493.60	$1,474.18	$23,136.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,646.49 / $1,646.49 / $34,087.76	Professional		$1,646.49	$1,646.49	$34,087.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $441.18 / $573.53 / $11,336.18	Professional		$441.18	$573.53	$11,336.18
United Facility/Professional Facility Modifier Low / Median / High Price $13,548.06 / $13,548.06 / $13,548.06	Facility		$13,548.06	$13,548.06	$13,548.06
United Facility/Professional Professional Modifier Low / Median / High Price $7,980.04 / $11,549.14 / $28,018.86	Professional		$7,980.04	$11,549.14	$28,018.86