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 $4,314.00 / $10,474.00 / $20,369.00	Facility		$4,314.00	$10,474.00	$20,369.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,806.95	Facility		$66.00	$100.00	$6,806.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,469.00 / $27,672.72 / $49,563.08	Facility		$23,469.00	$27,672.72	$49,563.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $839.54 / $1,184.57 / $19,756.37	Professional		$839.54	$1,184.57	$19,756.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $970.32 / $1,347.66 / $2,443.26	Professional		$970.32	$1,347.66	$2,443.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,987.58 / $79,924.50	Facility		$55.00	$8,987.58	$79,924.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $234.05 / $7,575.71 / $7,575.71	Facility	AS	$234.05	$7,575.71	$7,575.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.82 / $1,323.53 / $1,819.85	Facility		$1,066.82	$1,323.53	$1,819.85
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $121.06 / $121.06 / $348.37	Facility	AS	$121.06	$121.06	$348.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00