Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,631.00 / $18,483.00	Facility		$1,992.00	$7,631.00	$18,483.00
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 / $9,686.74	Facility		$66.00	$100.00	$9,686.74
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 $278.48 / $694.97 / $938.21	Professional		$278.48	$694.97	$938.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.50 / $772.43 / $1,367.63	Professional		$567.50	$772.43	$1,367.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,196.08 / $8,957.00 / $26,542.00	Facility		$2,196.08	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $134.47 / $849.00 / $849.00	Facility	AS	$134.47	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.89 / $750.54 / $1,029.22	Facility		$599.89	$750.54	$1,029.22
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $66.06 / $66.06 / $188.60	Facility	AS	$66.06	$66.06	$188.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00