Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $18,315.16	Facility		$1,820.00	$6,695.00	$18,315.16
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 / $8,885.87	Facility		$66.00	$100.00	$8,885.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,429.52 / $16,888.70	Facility		$2,277.00	$9,429.52	$16,888.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.95 / $809.49 / $1,092.81	Professional		$575.95	$809.49	$1,092.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.89 / $900.29 / $1,668.77	Professional		$658.89	$900.29	$1,668.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,205.20 / $26,542.00 / $27,234.40	Facility		$3,205.20	$26,542.00	$27,234.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.49 / $2,581.44 / $2,581.44	Facility	AS	$156.49	$2,581.44	$2,581.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.01 / $971.39 / $1,467.62	Facility		$735.01	$971.39	$1,467.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $76.84 / $76.84 / $219.51	Facility	AS	$76.84	$76.84	$219.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $28,973.00	Facility		$7,212.00	$13,651.00	$28,973.00