Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,708.00 / $19,368.00	Facility		$2,616.00	$8,708.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,213.00 / $8,484.00 / $17,774.00	Facility		$3,213.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $11,002.37	Facility		$66.90	$100.00	$11,002.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,554.45	Facility		$3,101.23	$3,106.72	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $358.52 / $706.27 / $953.46	Professional		$358.52	$706.27	$953.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.58 / $782.56 / $1,387.21	Professional		$575.58	$782.56	$1,387.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,334.98 / $8,957.00 / $26,542.00	Facility		$3,334.98	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $135.90 / $849.00 / $849.00	Facility	AS	$135.90	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.49 / $767.44 / $1,063.83	Facility		$626.49	$767.44	$1,063.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.11 / $67.11 / $191.22	Facility	AS	$67.11	$67.11	$191.22
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 $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00