Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,978.84 / $7,830.00 / $18,068.00	Facility		$2,978.84	$7,830.00	$18,068.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,447.00 / $18,544.00	Facility		$3,403.00	$9,447.00	$18,544.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $9,677.87	Facility		$66.90	$100.00	$9,677.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,106.72 / $5,554.45	Facility		$2,813.00	$3,106.72	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $591.65 / $845.10	Professional		$446.76	$591.65	$845.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.66 / $661.03 / $1,198.39	Professional		$483.66	$661.03	$1,198.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.65 / $8,957.00 / $33,500.00	Facility		$2,344.65	$8,957.00	$33,500.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $114.42 / $849.00 / $849.00	Facility	AS	$114.42	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $529.75 / $662.77 / $1,087.43	Facility		$529.75	$662.77	$1,087.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.48 / $56.48 / $161.41	Facility	AS	$56.48	$56.48	$161.41
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 $4,749.16 / $9,758.00 / $21,278.00	Facility		$4,749.16	$9,758.00	$21,278.00