Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,483.00	Facility		$1,992.00	$7,648.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,110.00 / $17,774.00	Facility		$3,294.00	$9,110.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,628.65	Facility		$66.00	$100.00	$10,628.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $17,244.86 / $30,886.31	Facility		$2,813.00	$17,244.86	$30,886.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.91 / $996.56 / $1,345.36	Professional		$562.91	$996.56	$1,345.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,121.73 / $2,009.35	Professional		$801.00	$1,121.73	$2,009.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,835.88 / $26,542.00 / $49,806.70	Facility		$4,835.88	$26,542.00	$49,806.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $195.66 / $4,720.97 / $4,720.97	Facility	AS	$195.66	$4,720.97	$4,720.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $899.61 / $1,134.97 / $1,581.02	Facility		$899.61	$1,134.97	$1,581.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $97.05 / $97.05 / $279.02	Facility	AS	$97.05	$97.05	$279.02
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,312.00	Facility		$7,696.00	$13,784.00	$29,312.00