Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
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 / $8,569.29	Facility		$66.00	$100.00	$8,569.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.03 / $697.67 / $941.85	Professional		$478.03	$697.67	$941.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.52 / $779.73 / $1,394.60	Professional		$570.52	$779.73	$1,394.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,319.92 / $19,913.50 / $26,542.00	Facility		$3,319.92	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $135.04 / $1,887.52 / $1,887.52	Facility	AS	$135.04	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.78 / $773.44 / $1,120.00	Facility		$623.78	$773.44	$1,120.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $66.66 / $66.66 / $190.35	Facility	AS	$66.66	$66.66	$190.35
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,407.00 / $28,973.00	Facility		$6,366.00	$13,407.00	$28,973.00