Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,951.04 / $8,499.00 / $20,135.00	Facility		$1,951.04	$8,499.00	$20,135.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,218.00 / $16,168.50 / $29,978.10	Facility	50	$6,218.00	$16,168.50	$29,978.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,644.00 / $19,252.00	Facility		$3,403.00	$9,644.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $10,841.00	Facility		$66.70	$100.00	$10,841.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.66 / $4,004.78 / $9,434.92	Facility		$3,388.66	$4,004.78	$9,434.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $994.04 / $1,255.74 / $1,880.36	Professional		$994.04	$1,255.74	$1,880.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,111.60 / $1,440.94 / $2,572.92	Professional		$1,111.60	$1,440.94	$2,572.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,109.74 / $15,214.55 / $26,542.00	Facility		$6,109.74	$15,214.55	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $247.97 / $1,442.13 / $1,442.13	Facility	AS	$247.97	$1,442.13	$1,442.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,132.71 / $1,457.33 / $2,026.98	Facility		$1,132.71	$1,457.33	$2,026.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $353.07 / $353.07 / $353.07	Facility	AS	$353.07	$353.07	$353.07
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 $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00