Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,392.50 / $8,641.64 / $19,217.55	Facility		$2,392.50	$8,641.64	$19,217.55
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 / $9,126.16	Facility		$66.90	$100.00	$9,126.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $781.99 / $1,055.69	Professional		$463.89	$781.99	$1,055.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $871.40 / $1,602.00	Professional		$638.07	$871.40	$1,602.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,705.84 / $19,913.50 / $26,542.00	Facility		$3,705.84	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $152.63 / $1,887.52 / $1,887.52	Facility	AS	$152.63	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.23 / $901.15 / $1,204.50	Facility		$700.23	$901.15	$1,204.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $251.18 / $251.18 / $251.18	Facility	80	$251.18	$251.18	$251.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $74.34 / $74.34 / $213.50	Facility	AS	$74.34	$74.34	$213.50
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 $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00