Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,212.00 / $18,293.00	Facility		$2,387.00	$8,212.00	$18,293.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $10,033.91	Facility		$66.90	$100.00	$10,033.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $435.22 / $600.25 / $823.28	Professional		$435.22	$600.25	$823.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.47 / $670.64 / $1,198.93	Professional		$490.47	$670.64	$1,198.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,899.12 / $19,913.50 / $26,542.00	Facility		$1,899.12	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $116.36 / $1,887.52 / $1,887.52	Facility	AS	$116.36	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.51 / $653.96 / $890.14	Facility		$474.51	$653.96	$890.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $57.12 / $57.12 / $163.69	Facility	AS	$57.12	$57.12	$163.69
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $5,876.00 / $5,876.00 / $5,876.00	Facility		$5,876.00	$5,876.00	$5,876.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $21,278.00	Facility		$5,116.00	$9,759.00	$21,278.00