Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,181.81	Facility		$66.00	$100.00	$8,181.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $843.99 / $1,139.39	Professional		$463.89	$843.99	$1,139.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.84 / $944.27 / $1,693.27	Professional		$682.84	$944.27	$1,693.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,049.10 / $8,957.00 / $26,542.00	Facility		$4,049.10	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $164.43 / $849.00 / $849.00	Facility	AS	$164.43	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $756.92 / $951.39 / $1,362.50	Facility		$756.92	$951.39	$1,362.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.31 / $81.31 / $234.03	Facility	AS	$81.31	$81.31	$234.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $9,451.00 / $20,217.00	Facility		$4,980.00	$9,451.00	$20,217.00