Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,215.66 / $18,745.08	Facility		$2,843.00	$9,215.66	$18,745.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $14,341.00	Facility		$2,143.00	$6,048.00	$14,341.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $14,838.70	Facility		$66.70	$100.00	$14,838.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,646.77 / $4,309.81 / $10,153.54	Facility		$3,646.77	$4,309.81	$10,153.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $775.25 / $841.20 / $1,162.88	Professional		$775.25	$841.20	$1,162.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.21 / $967.38 / $1,708.41	Professional		$750.21	$967.38	$1,708.41
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,821.67 / $16,373.40 / $26,542.00	Facility		$4,821.67	$16,373.40	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $169.09 / $1,551.97 / $1,551.97	Facility	AS	$169.09	$1,551.97	$1,551.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.55 / $1,009.52 / $1,510.59	Facility		$776.55	$1,009.52	$1,510.59
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $283.68 / $283.68 / $283.68	Facility	80	$283.68	$283.68	$283.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $241.13 / $241.13 / $241.13	Facility	AS	$241.13	$241.13	$241.13
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $8,140.00 / $8,140.00 / $8,140.00	Facility		$8,140.00	$8,140.00	$8,140.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,341.00 / $26,837.00	Facility		$5,284.00	$12,341.00	$26,837.00