Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,264.25 / $8,544.00 / $18,607.00	Facility		$3,264.25	$8,544.00	$18,607.00
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $10,077.95 / $10,077.95 / $10,077.95	Facility	80	$10,077.95	$10,077.95	$10,077.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,213.00 / $8,484.00 / $17,774.00	Facility		$3,213.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $12,021.87	Facility		$66.90	$100.00	$12,021.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $5,000.00 / $25,197.00	Facility		$3,101.23	$5,000.00	$25,197.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $801.43 / $2,214.06	Professional		$517.50	$801.43	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.37 / $893.84 / $1,581.18	Professional		$654.37	$893.84	$1,581.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $8,957.00 / $26,542.00	Facility		$3,825.00	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $155.52 / $849.00 / $849.00	Facility	AS	$155.52	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $717.37 / $875.00 / $1,203.13	Facility		$717.37	$875.00	$1,203.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $258.89 / $258.89 / $258.89	Facility	80	$258.89	$258.89	$258.89
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $76.76 / $76.76 / $220.05	Facility	AS	$76.76	$76.76	$220.05
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $9,714.00 / $9,714.00 / $9,714.00	Facility		$9,714.00	$9,714.00	$9,714.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00