Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,321.49	Facility		$64.40	$100.00	$5,321.49
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 $725.27 / $811.24 / $1,216.85	Professional		$725.27	$811.24	$1,216.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.85 / $838.94 / $1,581.09	Professional		$615.85	$838.94	$1,581.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,354.39 / $8,546.89	Facility		$55.00	$8,354.39	$8,546.89
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $131.16 / $307.30 / $325.02	Facility	AS	$131.16	$307.30	$325.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.87 / $863.97 / $1,284.72	Facility		$698.87	$863.97	$1,284.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $75.27 / $75.27 / $219.07	Facility	AS	$75.27	$75.27	$219.07
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