Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,681.00	Facility		$1,992.00	$7,648.00	$18,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.97 / $608.91 / $822.03	Professional		$400.97	$608.91	$822.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.63 / $677.96 / $1,229.11	Professional		$495.63	$677.96	$1,229.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,388.85 / $8,957.00 / $26,542.00	Facility		$2,388.85	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $117.00 / $849.00 / $849.00	Facility	AS	$117.00	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.37 / $668.12 / $992.16	Facility		$542.37	$668.12	$992.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $164.36	Facility	AS	$57.49	$57.49	$164.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00