Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,827.11 / $7,969.00 / $18,681.00	Facility		$2,827.11	$7,969.00	$18,681.00
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 $477.29 / $734.31 / $991.32	Professional		$477.29	$734.31	$991.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.73 / $819.77 / $1,498.00	Professional		$601.73	$819.77	$1,498.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,925.40 / $8,957.00 / $26,542.00	Facility		$2,925.40	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $142.66 / $849.00 / $849.00	Facility	AS	$142.66	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $653.96 / $815.02 / $1,248.76	Facility		$653.96	$815.02	$1,248.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $70.43 / $70.43 / $201.93	Facility	AS	$70.43	$70.43	$201.93
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 $4,763.00 / $9,759.00 / $21,278.00	Facility		$4,763.00	$9,759.00	$21,278.00