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 $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,809.99	Facility		$64.40	$100.00	$5,809.99
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 $630.29 / $694.96 / $945.45	Professional		$630.29	$694.96	$945.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.55 / $715.18 / $1,279.81	Professional		$523.55	$715.18	$1,279.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,946.28 / $7,090.16	Facility		$55.00	$6,946.28	$7,090.16
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $108.04 / $254.47 / $276.32	Facility	AS	$108.04	$254.47	$276.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.16 / $734.75 / $1,072.94	Facility		$579.16	$734.75	$1,072.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $62.19 / $62.19 / $178.66	Facility	AS	$62.19	$62.19	$178.66
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