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 / $17,538.00	Facility		$1,820.00	$6,695.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $600.04 / $810.07	Professional		$295.23	$600.04	$810.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.52 / $667.19 / $1,191.72	Professional		$487.52	$667.19	$1,191.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,874.60 / $8,957.00 / $26,542.00	Facility		$1,874.60	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $115.09 / $849.00 / $849.00	Facility	AS	$115.09	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.92 / $670.16 / $919.86	Facility		$530.92	$670.16	$919.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.45 / $56.45 / $160.32	Facility	AS	$56.45	$56.45	$160.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00