Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $6,945.00 / $20,786.00	Facility		$2,424.00	$6,945.00	$20,786.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,613.98	Facility		$63.90	$100.00	$13,613.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,887.00 / $4,887.00 / $4,887.00	Facility		$4,887.00	$4,887.00	$4,887.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $663.81 / $1,004.54 / $1,385.25	Professional		$663.81	$1,004.54	$1,385.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.19 / $1,253.81 / $2,273.11	Professional		$897.19	$1,253.81	$2,273.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,681.90 / $6,805.50	Facility		$55.00	$6,681.90	$6,805.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.41 / $451.87 / $487.01	Facility	AS	$191.41	$451.87	$487.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $989.12 / $1,230.34 / $1,691.73	Facility		$989.12	$1,230.34	$1,691.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $110.17 / $110.17 / $314.41	Facility	AS	$110.17	$110.17	$314.41
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