Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,323.07 / $9,743.00 / $19,860.00	Facility		$2,323.07	$9,743.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $12,897.90	Facility		$66.90	$100.00	$12,897.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $9,356.35 / $16,757.64	Facility		$3,203.00	$9,356.35	$16,757.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $659.72 / $983.12 / $6,679.77	Professional		$659.72	$983.12	$6,679.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $1,096.47 / $1,967.64	Professional		$795.00	$1,096.47	$1,967.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,126.60 / $26,542.00 / $27,023.05	Facility		$3,126.60	$26,542.00	$27,023.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $190.89 / $2,561.40 / $2,561.40	Facility	AS	$190.89	$2,561.40	$2,561.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.28 / $1,074.09 / $1,551.50	Facility		$858.28	$1,074.09	$1,551.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.06 / $94.06 / $268.64	Facility	AS	$94.06	$94.06	$268.64
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $12,278.00 / $12,278.00 / $12,278.00	Facility		$12,278.00	$12,278.00	$12,278.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,312.00	Facility		$7,696.00	$13,722.00	$29,312.00