Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $7,000.00 / $18,681.00	Facility		$1,820.00	$7,000.00	$18,681.00
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 / $9,101.69	Facility		$66.00	$100.00	$9,101.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $16,666.03 / $29,849.61	Facility		$2,277.00	$16,666.03	$29,849.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $983.04 / $1,327.10	Professional		$379.37	$983.04	$1,327.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.63 / $1,089.56 / $2,000.66	Professional		$795.63	$1,089.56	$2,000.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,934.85 / $26,542.00 / $48,134.90	Facility		$3,934.85	$26,542.00	$48,134.90
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.70 / $4,562.51 / $4,562.51	Facility	AS	$191.70	$4,562.51	$4,562.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $882.02 / $1,079.22 / $1,471.84	Facility		$882.02	$1,079.22	$1,471.84
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.58 / $94.58 / $270.62	Facility	AS	$94.58	$94.58	$270.62
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,171.00 / $28,253.00	Facility		$7,696.00	$13,171.00	$28,253.00