Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,948.09	Facility		$1,820.00	$6,631.00	$17,948.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,569.29	Facility		$66.00	$100.00	$8,569.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,969.69 / $16,065.11	Facility		$2,277.00	$8,969.69	$16,065.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.03 / $679.80 / $917.73	Professional		$478.03	$679.80	$917.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.26 / $760.25 / $1,359.75	Professional		$556.26	$760.25	$1,359.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,238.68 / $25,906.30 / $26,542.00	Facility		$3,238.68	$25,906.30	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $131.85 / $2,455.55 / $2,455.55	Facility	AS	$131.85	$2,455.55	$2,455.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $609.26 / $757.83 / $1,131.15	Facility		$609.26	$757.83	$1,131.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $65.13 / $65.13 / $186.42	Facility	AS	$65.13	$65.13	$186.42
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $28,973.00	Facility		$7,212.00	$13,651.00	$28,973.00