Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.00 / $8,124.00 / $22,788.00	Facility		$2,517.00	$8,124.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,362.00 / $15,328.00	Facility		$2,696.00	$7,362.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,427.70	Facility		$66.00	$100.00	$8,427.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,344.83 / $1,479.31 / $1,815.52	Professional		$1,344.83	$1,479.31	$1,815.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.83 / $1,482.97 / $2,960.00	Professional		$1,078.83	$1,482.97	$2,960.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,562.74 / $15,214.55 / $26,542.00	Facility		$6,562.74	$15,214.55	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $265.48 / $1,442.13 / $1,442.13	Facility	AS	$265.48	$1,442.13	$1,442.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,043.76 / $1,431.32 / $1,944.37	Facility		$1,043.76	$1,431.32	$1,944.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $378.52 / $378.52 / $378.52	Facility	AS	$378.52	$378.52	$378.52
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $8,179.00 / $8,179.00 / $8,179.00	Facility		$8,179.00	$8,179.00	$8,179.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,899.00 / $12,440.00 / $26,451.00	Facility		$6,899.00	$12,440.00	$26,451.00