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 / $17,393.00	Facility		$1,820.00	$6,880.00	$17,393.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $572.23 / $793.12 / $1,685.12	Professional		$572.23	$793.12	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.51 / $897.11 / $1,630.26	Professional		$658.51	$897.11	$1,630.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,607.64 / $6,817.20	Facility		$55.00	$2,607.64	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.72 / $646.16 / $646.16	Facility	AS	$156.72	$646.16	$646.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.30 / $886.01 / $1,212.83	Facility		$710.30	$886.01	$1,212.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $78.22 / $78.22 / $225.30	Facility	AS	$78.22	$78.22	$225.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00