Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,648.00 / $23,174.00	Facility		$2,608.00	$7,648.00	$23,174.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $9,126.16	Facility		$66.90	$100.00	$9,126.16
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 $449.74 / $897.92 / $1,212.19	Professional		$449.74	$897.92	$1,212.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.25 / $995.64 / $1,789.63	Professional		$723.25	$995.64	$1,789.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,829.48 / $19,913.50 / $26,542.00	Facility		$2,829.48	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.98 / $1,887.52 / $1,887.52	Facility	AS	$172.98	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $773.97 / $976.16 / $1,342.23	Facility		$773.97	$976.16	$1,342.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $85.30 / $85.30 / $241.90	Facility	AS	$85.30	$85.30	$241.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00