Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,934.00 / $9,790.00 / $18,150.00	Facility		$3,934.00	$9,790.00	$18,150.00
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 $205.88 / $250.71 / $313.39	Professional		$205.88	$250.71	$313.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.17 / $298.06 / $546.54	Professional		$216.17	$298.06	$546.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,764.32 / $3,864.70	Facility		$55.00	$3,764.32	$3,864.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $46.86 / $109.91 / $114.09	Facility	AS	$46.86	$109.91	$114.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.37 / $290.05 / $396.31	Facility		$233.37	$290.05	$396.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $27.03 / $27.03 / $78.41	Facility	AS	$27.03	$27.03	$78.41
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