Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,494.00 / $18,309.00	Facility		$1,924.00	$7,494.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $613.17 / $879.17 / $1,186.88	Professional		$613.17	$879.17	$1,186.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.13 / $986.52 / $1,767.88	Professional		$723.13	$986.52	$1,767.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,827.20 / $19,913.50 / $26,542.00	Facility		$2,827.20	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $171.79 / $1,887.52 / $1,887.52	Facility	AS	$171.79	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.82 / $990.56 / $1,435.87	Facility		$791.82	$990.56	$1,435.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $85.08 / $85.08 / $243.97	Facility	AS	$85.08	$85.08	$243.97
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $21,278.00	Facility		$5,116.00	$9,759.00	$21,278.00