Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,949.16 / $2,949.16 / $33,645.69	Facility		$2,949.16	$2,949.16	$33,645.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,053.26 / $2,949.16 / $33,645.69	Professional		$2,053.26	$2,949.16	$33,645.69
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 $775.58 / $7,557.00 / $17,805.50	Professional		$775.58	$7,557.00	$17,805.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4,062.37 / $7,688.92 / $15,195.87	Facility		$4,062.37	$7,688.92	$15,195.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $617.98 / $3,307.34 / $13,564.35	Professional		$617.98	$3,307.34	$13,564.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.16 / $1,158.33 / $9,549.27	Professional		$803.16	$1,158.33	$9,549.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $475.43 / $640.67 / $6,930.86	Professional		$475.43	$640.67	$6,930.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.89 / $2,637.79 / $6,930.86	Professional		$514.89	$2,637.79	$6,930.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,143.30 / $7,143.30	Facility		$55.00	$7,143.30	$7,143.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $128.32 / $245.87 / $245.87	Facility	AS	$128.32	$245.87	$245.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,682.37 / $28,088.65 / $32,833.65	Professional		$15,682.37	$28,088.65	$32,833.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $587.05 / $1,276.31 / $7,444.26	Facility		$587.05	$1,276.31	$7,444.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $514.89 / $1,537.47 / $11,700.27	Professional		$514.89	$1,537.47	$11,700.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,718.18 / $1,718.18 / $16,716.23	Professional		$1,718.18	$1,718.18	$16,716.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $475.43 / $618.05 / $5,708.38	Professional		$475.43	$618.05	$5,708.38
United Facility/Professional Facility Modifier Low / Median / High Price $12,057.84 / $12,057.84 / $12,057.84	Facility		$12,057.84	$12,057.84	$12,057.84
United Facility/Professional Professional Modifier Low / Median / High Price $4,075.97 / $6,324.76 / $15,215.57	Professional		$4,075.97	$6,324.76	$15,215.57