Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,880.00 / $18,293.00	Facility		$2,387.00	$6,880.00	$18,293.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $439.31 / $635.15 / $1,685.12	Professional		$439.31	$635.15	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.76 / $711.28 / $1,272.96	Professional		$520.76	$711.28	$1,272.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,028.00 / $6,817.20	Facility		$55.00	$2,028.00	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $123.30 / $646.16 / $646.16	Facility	AS	$123.30	$646.16	$646.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $560.87 / $698.67 / $966.34	Facility		$560.87	$698.67	$966.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $60.88 / $60.88 / $173.97	Facility	AS	$60.88	$60.88	$173.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00