Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $10,070.00 / $21,861.00	Facility		$2,645.00	$10,070.00	$21,861.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $11,276.00 / $22,145.00	Facility		$3,738.00	$11,276.00	$22,145.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $15,436.09	Facility		$66.90	$100.00	$15,436.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $6,906.96 / $12,348.83	Facility		$4,445.00	$6,906.96	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $992.97 / $1,340.51	Professional		$590.47	$992.97	$1,340.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,116.02 / $2,026.55	Professional		$801.00	$1,116.02	$2,026.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,801.56 / $19,913.50 / $26,542.00	Facility		$4,801.56	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.47 / $1,887.52 / $1,887.52	Facility	AS	$194.47	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $904.08 / $1,181.23 / $1,698.94	Facility		$904.08	$1,181.23	$1,698.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $325.44 / $325.44 / $325.44	Facility	80	$325.44	$325.44	$325.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $96.34 / $96.34 / $276.62	Facility	AS	$96.34	$96.34	$276.62
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 / $12,267.00 / $26,109.00	Facility		$6,087.45	$12,267.00	$26,109.00