Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.97 / $6,695.00 / $17,538.00	Facility		$1,720.97	$6,695.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,776.06	Facility		$66.00	$100.00	$9,776.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $17,693.30 / $31,689.50	Facility		$2,277.00	$17,693.30	$31,689.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,218.59 / $1,645.11	Professional		$716.68	$1,218.59	$1,645.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $976.55 / $1,373.78 / $2,495.64	Professional		$976.55	$1,373.78	$2,495.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,938.02 / $26,542.00 / $51,101.90	Facility		$5,938.02	$26,542.00	$51,101.90
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $240.01 / $4,843.72 / $4,843.72	Facility	AS	$240.01	$4,843.72	$4,843.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,099.02 / $1,362.00 / $1,840.00	Facility		$1,099.02	$1,362.00	$1,840.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $118.97 / $118.97 / $341.82	Facility	AS	$118.97	$118.97	$341.82
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00