Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,319.00 / $17,380.00	Facility		$2,020.00	$6,319.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,344.10	Facility		$66.00	$100.00	$7,344.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $320.55 / $723.73 / $977.04	Professional		$320.55	$723.73	$977.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.59 / $801.87 / $1,450.99	Professional		$593.59	$801.87	$1,450.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,462.48 / $16,394.00 / $19,913.50	Facility		$3,462.48	$16,394.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $141.36 / $1,887.52 / $1,887.52	Facility	AS	$141.36	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.99 / $812.63 / $1,121.75	Facility		$648.99	$812.63	$1,121.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.76 / $69.76 / $201.38	Facility	AS	$69.76	$69.76	$201.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $20,988.00	Facility		$4,728.00	$9,759.00	$20,988.00