Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $5,980.00 / $5,980.00	Facility		$5,980.00	$5,980.00	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $514.89 / $616.55 / $832.36	Professional		$514.89	$616.55	$832.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.08 / $727.04 / $1,344.10	Professional		$530.08	$727.04	$1,344.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,574.72 / $10,852.80	Facility		$55.00	$10,574.72	$10,852.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $114.66 / $267.94 / $279.77	Facility	AS	$114.66	$267.94	$279.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.94 / $711.71 / $971.82	Facility		$573.94	$711.71	$971.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $65.84 / $65.84 / $191.77	Facility	AS	$65.84	$65.84	$191.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $15,471.00	Facility		$3,610.00	$7,384.00	$15,471.00