Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $9,384.00 / $19,368.00	Facility		$2,231.07	$9,384.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $9,830.00 / $20,341.00	Facility		$3,145.00	$9,830.00	$20,341.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $12,002.00	Facility		$66.90	$100.00	$12,002.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $6,906.96 / $12,348.83	Facility		$3,203.00	$6,906.96	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $957.87 / $1,293.11	Professional		$590.47	$957.87	$1,293.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.48 / $1,075.06 / $1,926.23	Professional		$776.48	$1,075.06	$1,926.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,619.88 / $19,913.50 / $26,542.00	Facility		$4,619.88	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.33 / $1,887.52 / $1,887.52	Facility	AS	$187.33	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $873.49 / $1,131.00 / $1,534.50	Facility		$873.49	$1,131.00	$1,534.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.68 / $92.68 / $266.25	Facility	AS	$92.68	$92.68	$266.25
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $8,623.00 / $8,623.00 / $8,623.00	Facility		$8,623.00	$8,623.00	$8,623.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.45 / $12,313.00 / $26,451.00	Facility		$6,087.45	$12,313.00	$26,451.00