Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,530.35 / $9,746.00 / $19,368.00	Facility		$3,530.35	$9,746.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,447.00 / $18,544.00	Facility		$2,822.00	$9,447.00	$18,544.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $11,055.56	Facility		$66.90	$100.00	$11,055.56
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 $667.91 / $953.73 / $2,214.06	Professional		$667.91	$953.73	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $775.47 / $1,060.46 / $1,931.29	Professional		$775.47	$1,060.46	$1,931.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,015.76 / $8,957.00 / $26,542.00	Facility		$3,015.76	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $184.64 / $849.00 / $849.00	Facility	AS	$184.64	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $864.24 / $1,069.52 / $1,484.02	Facility		$864.24	$1,069.52	$1,484.02
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $317.08 / $317.08 / $317.08	Facility	80	$317.08	$317.08	$317.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.40 / $94.40 / $269.52	Facility	AS	$94.40	$94.40	$269.52
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $7,120.00 / $7,120.00 / $7,120.00	Facility		$7,120.00	$7,120.00	$7,120.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00