Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,276.00 / $20,509.00	Facility		$2,616.00	$9,276.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,939.24	Facility		$66.00	$100.00	$11,939.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $8,938.15 / $16,008.62	Facility		$3,203.00	$8,938.15	$16,008.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $484.73 / $921.03 / $1,243.39	Professional		$484.73	$921.03	$1,243.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.06 / $1,030.13 / $1,847.52	Professional		$745.06	$1,030.13	$1,847.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,417.85 / $25,815.20 / $26,542.00	Facility		$4,417.85	$25,815.20	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $179.29 / $2,446.92 / $2,446.92	Facility	AS	$179.29	$2,446.92	$2,446.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $980.53 / $1,343.47	Facility		$743.69	$980.53	$1,343.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $88.58 / $88.58 / $252.93	Facility	AS	$88.58	$88.58	$252.93
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