Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,545.00 / $17,902.00	Facility		$1,208.95	$5,545.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $9,747.00 / $18,903.00	Facility		$2,675.00	$9,747.00	$18,903.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,684.75	Facility		$63.50	$100.00	$1,684.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $7,500.00 / $7,500.00	Facility		$7,500.00	$7,500.00	$7,500.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $422.56 / $528.46 / $660.58	Professional		$422.56	$528.46	$660.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $454.65 / $626.74 / $1,120.08	Professional		$454.65	$626.74	$1,120.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $6,617.10 / $8,074.08	Facility		$5,000.00	$6,617.10	$8,074.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $98.31 / $230.56 / $239.96	Facility	AS	$98.31	$230.56	$239.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $491.18 / $608.79 / $829.95	Facility		$491.18	$608.79	$829.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.33 / $56.33 / $163.05	Facility	AS	$56.33	$56.33	$163.05
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00