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 / $17,809.00	Facility		$1,820.00	$6,640.00	$17,809.00
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 $616.90 / $748.98 / $1,011.12	Professional		$616.90	$748.98	$1,011.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.91 / $873.85 / $1,578.11	Professional		$642.91	$873.85	$1,578.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,810.56 / $13,099.04	Facility		$55.00	$12,810.56	$13,099.04
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $138.81 / $324.41 / $339.32	Facility	AS	$138.81	$324.41	$339.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $696.37 / $863.74 / $1,178.68	Facility		$696.37	$863.74	$1,178.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $79.45 / $79.45 / $232.50	Facility	AS	$79.45	$79.45	$232.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,867.00 / $7,120.00 / $14,743.00	Facility		$3,867.00	$7,120.00	$14,743.00