Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $9,596.00 / $18,812.00	Facility		$3,908.00	$9,596.00	$18,812.00
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 $19,468.00 / $21,361.83 / $38,260.00	Facility		$19,468.00	$21,361.83	$38,260.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $468.35 / $500.78 / $15,250.84	Professional		$468.35	$500.78	$15,250.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.28 / $568.92 / $1,025.39	Professional		$411.28	$568.92	$1,025.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,579.30 / $61,697.35	Facility		$55.00	$3,579.30	$61,697.35
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $100.13 / $5,848.03 / $5,848.03	Facility	AS	$100.13	$5,848.03	$5,848.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.73 / $559.49 / $765.02	Facility		$450.73	$559.49	$765.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $48.50 / $48.50 / $140.01	Facility	AS	$48.50	$48.50	$140.01
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,784.00 / $29,312.00	Facility		$7,212.00	$13,784.00	$29,312.00