Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,175.00 / $18,309.00	Facility		$1,992.00	$7,175.00	$18,309.00
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 / $9,686.74	Facility		$66.00	$100.00	$9,686.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $544.66 / $858.68 / $2,214.06	Professional		$544.66	$858.68	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.06 / $952.93 / $1,712.46	Professional		$697.06	$952.93	$1,712.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,386.75 / $8,957.00	Facility		$55.00	$3,386.75	$8,957.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.61 / $849.00 / $849.00	Facility	AS	$165.61	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.50 / $943.48 / $1,268.30	Facility		$760.50	$943.48	$1,268.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.31 / $81.31 / $232.29	Facility	AS	$81.31	$81.31	$232.29
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00