Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $21,960.90	Facility		$2,197.85	$7,858.00	$21,960.90
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 / $19,483.74 / $34,896.26	Facility		$2,813.00	$19,483.74	$34,896.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $865.74 / $1,168.75	Professional		$463.89	$865.74	$1,168.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.96 / $967.28 / $1,735.18	Professional		$699.96	$967.28	$1,735.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,453.70 / $26,542.00 / $56,273.05	Facility		$3,453.70	$26,542.00	$56,273.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $168.35 / $5,333.89 / $5,333.89	Facility	AS	$168.35	$5,333.89	$5,333.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.77 / $957.67 / $1,292.33	Facility		$775.77	$957.67	$1,292.33
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $237.96	Facility	AS	$83.10	$83.10	$237.96
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,784.00 / $29,571.00	Facility		$7,212.00	$13,784.00	$29,571.00