Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,870.00 / $19,860.00	Facility		$2,387.00	$8,870.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,830.00 / $23,548.00	Facility		$3,028.00	$9,830.00	$23,548.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $13,813.69	Facility		$66.00	$100.00	$13,813.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,268.00 / $18,849.84 / $33,760.93	Facility		$17,268.00	$18,849.84	$33,760.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $803.90 / $1,085.27	Professional		$463.89	$803.90	$1,085.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.49 / $899.70 / $1,613.06	Professional		$650.49	$899.70	$1,613.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,214.25 / $26,542.00 / $54,442.25	Facility		$3,214.25	$26,542.00	$54,442.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.77 / $5,160.35 / $5,160.35	Facility	AS	$156.77	$5,160.35	$5,160.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $722.61 / $908.40 / $1,302.89	Facility		$722.61	$908.40	$1,302.89
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $77.17 / $77.17 / $221.69	Facility	AS	$77.17	$77.17	$221.69
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $16,684.00 / $42,098.00	Facility		$8,822.00	$16,684.00	$42,098.00