Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,000.00 / $17,380.00	Facility		$2,197.85	$7,000.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $8,263.42	Facility		$66.90	$100.00	$8,263.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,980.00	Facility		$3,101.23	$3,106.72	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $472.82 / $786.16 / $2,214.06	Professional		$472.82	$786.16	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.71 / $878.02 / $1,575.00	Professional		$642.71	$878.02	$1,575.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,758.58 / $8,957.00	Facility		$55.00	$3,758.58	$8,957.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $152.91 / $849.00 / $849.00	Facility	AS	$152.91	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $687.39 / $859.45 / $1,228.58	Facility		$687.39	$859.45	$1,228.58
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $75.45 / $75.45 / $215.47	Facility	AS	$75.45	$75.45	$215.47
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 $4,523.00 / $9,707.00 / $20,988.00	Facility		$4,523.00	$9,707.00	$20,988.00