Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $6,640.00 / $17,701.00	Facility		$1,169.00	$6,640.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,863.00 / $11,400.00	Facility		$2,100.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $15,276.89	Facility		$65.90	$100.00	$15,276.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $4,340.00 / $4,340.00	Facility		$4,340.00	$4,340.00	$4,340.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $140.44 / $189.59	Professional		$118.76	$140.44	$189.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $165.76 / $306.16	Professional		$120.12	$165.76	$306.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $325.51 / $3,145.91 / $4,272.08	Facility		$325.51	$3,145.91	$4,272.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $25.82 / $60.40 / $63.40	Facility	AS	$25.82	$60.40	$63.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.09 / $172.80 / $248.37	Facility		$138.09	$172.80	$248.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $14.95 / $14.95 / $43.57	Facility	AS	$14.95	$14.95	$43.57
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00