Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $18,252.00	Facility		$1,820.00	$6,880.00	$18,252.00
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 / $8,885.87	Facility		$66.00	$100.00	$8,885.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,288.54 / $16,636.18	Facility		$2,277.00	$9,288.54	$16,636.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,124.66 / $6,631.36	Professional		$505.96	$1,124.66	$6,631.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.19 / $1,268.31 / $2,304.44	Professional		$913.19	$1,268.31	$2,304.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,481.72 / $26,542.00 / $26,827.20	Facility		$5,481.72	$26,542.00	$26,827.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $221.84 / $2,542.84 / $2,542.84	Facility	AS	$221.84	$2,542.84	$2,542.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.33 / $1,207.50 / $1,647.97	Facility		$891.33	$1,207.50	$1,647.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $109.98 / $109.98 / $317.47	Facility	AS	$109.98	$109.98	$317.47
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,555.00 / $29,312.00	Facility		$7,212.00	$13,555.00	$29,312.00