Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
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 / $8,968.67	Facility		$66.00	$100.00	$8,968.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,987.54 / $16,097.08	Facility		$2,277.00	$8,987.54	$16,097.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $838.52 / $1,132.00	Professional		$505.96	$838.52	$1,132.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.10 / $939.80 / $1,684.52	Professional		$679.10	$939.80	$1,684.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,362.75 / $25,957.85 / $26,542.00	Facility		$3,362.75	$25,957.85	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $163.68 / $2,460.44 / $2,460.44	Facility	AS	$163.68	$2,460.44	$2,460.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $752.82 / $938.00 / $1,257.39	Facility		$752.82	$938.00	$1,257.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.94 / $80.94 / $232.07	Facility	AS	$80.94	$80.94	$232.07
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,555.00 / $29,312.00	Facility		$7,212.00	$13,555.00	$29,312.00