Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,631.00 / $18,309.00	Facility		$1,992.00	$7,631.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,231.00 / $21,405.00	Facility		$2,456.00	$7,231.00	$21,405.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,121.41	Facility		$64.40	$100.00	$7,121.41
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 $634.05 / $732.31 / $1,098.47	Professional		$634.05	$732.31	$1,098.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.49 / $712.60 / $1,292.92	Professional		$522.49	$712.60	$1,292.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,895.57 / $7,039.01	Facility		$55.00	$6,895.57	$7,039.01
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $107.00 / $252.36 / $275.76	Facility	AS	$107.00	$252.36	$275.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.66 / $724.79 / $1,083.48	Facility		$570.66	$724.79	$1,083.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $61.67 / $61.67 / $176.26	Facility	AS	$61.67	$61.67	$176.26
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00