Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,710.00 / $7,584.00 / $18,252.00	Facility		$2,710.00	$7,584.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,035.00 / $14,981.00	Facility		$2,675.00	$7,035.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $8,208.49	Facility		$66.90	$100.00	$8,208.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,106.72 / $5,554.45	Facility		$2,277.00	$3,106.72	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $537.60 / $645.12 / $1,016.94	Professional		$537.60	$645.12	$1,016.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.56 / $698.10 / $1,285.58	Professional		$510.56	$698.10	$1,285.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,976.52 / $8,957.00 / $26,542.00	Facility		$1,976.52	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $121.02 / $849.00 / $849.00	Facility	AS	$121.02	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $558.48 / $696.62 / $1,110.55	Facility		$558.48	$696.62	$1,110.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $59.43 / $59.43 / $169.71	Facility	AS	$59.43	$59.43	$169.71
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,916.00 / $4,916.00 / $4,916.00	Facility		$4,916.00	$4,916.00	$4,916.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $9,759.00 / $21,278.00	Facility		$4,980.00	$9,759.00	$21,278.00