Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $8,479.00 / $22,975.34	Facility		$1,758.00	$8,479.00	$22,975.34
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $30,985.22 / $30,985.22 / $30,985.22	Facility	AS	$30,985.22	$30,985.22	$30,985.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $11,780.00 / $23,933.00	Facility		$3,846.00	$11,780.00	$23,933.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $10,417.96	Facility		$66.90	$100.00	$10,417.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,089.25 / $16,279.25	Facility		$2,277.00	$9,089.25	$16,279.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,119.51 / $1,511.34	Professional		$674.61	$1,119.51	$1,511.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.98 / $1,262.83 / $2,289.46	Professional		$897.98	$1,262.83	$2,289.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,547.45 / $26,251.60 / $33,500.00	Facility		$4,547.45	$26,251.60	$33,500.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $221.11 / $2,488.28 / $2,488.28	Facility	AS	$221.11	$2,488.28	$2,488.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,027.83 / $1,296.65 / $2,161.90	Facility		$1,027.83	$1,296.65	$2,161.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $316.58	Facility	AS	$109.68	$109.68	$316.58
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $14,841.00 / $14,841.00 / $14,841.00	Facility		$14,841.00	$14,841.00	$14,841.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,735.00 / $13,205.00 / $28,253.00	Facility		$7,735.00	$13,205.00	$28,253.00