Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,310.00 / $16,713.00	Facility		$1,256.22	$5,310.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,007.00 / $13,707.00	Facility		$2,629.00	$7,007.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
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 $284.06 / $346.61 / $433.26	Professional		$284.06	$346.61	$433.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.27 / $412.83 / $753.58	Professional		$299.27	$412.83	$753.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,381.16 / $5,000.00 / $5,313.28	Facility		$4,381.16	$5,000.00	$5,313.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $64.98 / $152.44 / $157.94	Facility	AS	$64.98	$152.44	$157.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.74 / $400.18 / $544.13	Facility		$323.74	$400.18	$544.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $37.13 / $37.13 / $107.24	Facility	AS	$37.13	$37.13	$107.24
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