Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $5,990.00 / $17,030.00	Facility		$1,539.00	$5,990.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $814.23 / $1,099.21	Professional		$463.89	$814.23	$1,099.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.84 / $911.13 / $1,570.84	Professional		$658.84	$911.13	$1,570.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,909.96 / $8,957.00 / $16,394.00	Facility		$3,909.96	$8,957.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.54 / $849.00 / $849.00	Facility	AS	$158.54	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.37 / $914.14 / $1,314.40	Facility		$735.37	$914.14	$1,314.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $78.29 / $78.29 / $224.42	Facility	AS	$78.29	$78.29	$224.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00