Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,479.00 / $21,960.90	Facility		$2,387.00	$8,479.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $790.59 / $1,067.30	Professional		$337.30	$790.59	$1,067.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $869.65 / $1,575.60	Professional		$638.07	$869.65	$1,575.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,113.35 / $19,913.50 / $26,542.00	Facility		$3,113.35	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $152.31 / $1,887.52 / $1,887.52	Facility	AS	$152.31	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.46 / $856.16 / $1,167.63	Facility		$701.46	$856.16	$1,167.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $74.86 / $74.86 / $214.16	Facility	AS	$74.86	$74.86	$214.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,407.00 / $28,973.00	Facility		$6,366.00	$13,407.00	$28,973.00