Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,631.00 / $20,135.00	Facility		$1,956.72	$7,631.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,110.00 / $17,774.00	Facility		$2,776.00	$9,110.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,574.64	Facility		$66.00	$100.00	$10,574.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $17,612.39 / $31,544.58	Facility		$2,813.00	$17,612.39	$31,544.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $1,079.90 / $1,457.87	Professional		$421.82	$1,079.90	$1,457.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $863.42 / $1,215.14 / $2,206.51	Professional		$863.42	$1,215.14	$2,206.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,363.05 / $26,542.00 / $50,868.20	Facility		$4,363.05	$26,542.00	$50,868.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $211.89 / $4,821.58 / $4,821.58	Facility	AS	$211.89	$4,821.58	$4,821.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $943.63 / $1,188.41 / $1,589.04	Facility		$943.63	$1,188.41	$1,589.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $104.91 / $104.91 / $301.20	Facility	AS	$104.91	$104.91	$301.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,840.00 / $29,312.00	Facility		$7,696.00	$13,840.00	$29,312.00