Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,954.00 / $18,293.00	Facility		$2,197.85	$7,954.00	$18,293.00
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 / $10,977.49	Facility		$66.00	$100.00	$10,977.49
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 $505.96 / $969.93 / $1,309.41	Professional		$505.96	$969.93	$1,309.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $785.82 / $1,087.50 / $1,975.77	Professional		$785.82	$1,087.50	$1,975.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,674.06 / $19,913.50 / $26,542.00	Facility		$4,674.06	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $189.26 / $1,887.52 / $1,887.52	Facility	AS	$189.26	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $1,091.68 / $1,563.32	Facility		$871.00	$1,091.68	$1,563.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $93.69 / $93.69 / $268.22	Facility	AS	$93.69	$93.69	$268.22
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,267.00 / $26,109.00	Facility		$5,799.00	$12,267.00	$26,109.00