Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,386.78 / $6,631.00 / $18,315.16	Facility		$2,386.78	$6,631.00	$18,315.16
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 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $568.50 / $797.26 / $1,685.12	Professional		$568.50	$797.26	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.64 / $901.45 / $1,619.00	Professional		$661.64	$901.45	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,927.78 / $6,817.20	Facility		$55.00	$3,927.78	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $157.41 / $646.16 / $646.16	Facility	AS	$157.41	$646.16	$646.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.72 / $890.23 / $1,218.48	Facility		$713.72	$890.23	$1,218.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $78.67 / $78.67 / $226.61	Facility	AS	$78.67	$78.67	$226.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00