Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $7,830.00 / $17,054.00	Facility		$2,700.00	$7,830.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $8,389.08	Facility		$66.90	$100.00	$8,389.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $605.36 / $826.66 / $1,685.12	Professional		$605.36	$826.66	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.88 / $938.06 / $1,706.16	Professional		$688.88	$938.06	$1,706.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,108.14 / $6,817.20	Facility		$55.00	$4,108.14	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $164.59 / $646.16 / $646.16	Facility	AS	$164.59	$646.16	$646.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $742.85 / $926.88 / $1,273.28	Facility		$742.85	$926.88	$1,273.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $82.39 / $82.39 / $237.53	Facility	AS	$82.39	$82.39	$237.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00