Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $5,990.00 / $17,030.00	Facility		$1,486.00	$5,990.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,373.15	Facility		$66.00	$100.00	$7,373.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $272.14 / $671.50 / $906.53	Professional		$272.14	$671.50	$906.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.87 / $751.85 / $1,387.36	Professional		$550.87	$751.85	$1,387.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,763.41 / $16,394.00 / $19,913.50	Facility		$3,763.41	$16,394.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $129.79 / $1,887.52 / $1,887.52	Facility	AS	$129.79	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.00 / $734.50 / $982.16	Facility		$595.00	$734.50	$982.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $64.05 / $64.05 / $181.94	Facility	AS	$64.05	$64.05	$181.94
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