Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.50 / $7,368.00 / $17,810.00	Facility		$2,002.50	$7,368.00	$17,810.00
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 / $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 $511.54 / $778.80 / $1,051.38	Professional		$511.54	$778.80	$1,051.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.63 / $871.66 / $1,563.06	Professional		$638.63	$871.66	$1,563.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,116.85 / $8,957.00 / $26,542.00	Facility		$3,116.85	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $151.72 / $849.00 / $849.00	Facility	AS	$151.72	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.87 / $868.83 / $1,320.00	Facility		$699.87	$868.83	$1,320.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $75.01 / $75.01 / $214.81	Facility	AS	$75.01	$75.01	$214.81
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 $5,116.00 / $9,759.00 / $21,278.00	Facility		$5,116.00	$9,759.00	$21,278.00