Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,532.00 / $17,380.00	Facility		$1,017.00	$5,532.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,418.00 / $9,274.00	Facility		$1,723.00	$4,418.00	$9,274.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $190.04 / $256.55	Professional		$139.61	$190.04	$256.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $225.34 / $463.74	Professional		$163.66	$225.34	$463.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $437.41 / $1,300.00 / $2,000.00	Facility		$437.41	$1,300.00	$2,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $35.43 / $83.11 / $86.38	Facility	AS	$35.43	$83.11	$86.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.21 / $229.73 / $356.06	Facility		$188.21	$229.73	$356.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $20.47 / $20.47 / $59.30	Facility	AS	$20.47	$20.47	$59.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $21,278.00	Facility		$4,728.00	$9,758.00	$21,278.00