Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,388.00 / $6,342.00 / $16,713.00	Facility		$1,388.00	$6,342.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $7,847.59	Facility		$66.90	$100.00	$7,847.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,994.67 / $16,109.85	Facility		$1,992.00	$8,994.67	$16,109.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $584.51 / $744.92 / $1,105.68	Professional		$584.51	$744.92	$1,105.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.03 / $837.95 / $1,498.51	Professional		$613.03	$837.95	$1,498.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,389.04 / $16,394.00 / $25,978.45	Facility		$2,389.04	$16,394.00	$25,978.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $147.24 / $2,462.39 / $2,462.39	Facility	AS	$147.24	$2,462.39	$2,462.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.14 / $864.08 / $1,302.00	Facility		$681.14	$864.08	$1,302.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $242.70 / $242.70 / $242.70	Facility	80	$242.70	$242.70	$242.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $71.98 / $71.98 / $206.29	Facility	AS	$71.98	$71.98	$206.29
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 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00