Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,830.00 / $18,483.00	Facility		$1,992.00	$7,830.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $742.71 / $1,002.66	Professional		$421.82	$742.71	$1,002.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.48 / $825.49 / $1,482.51	Professional		$606.48	$825.49	$1,482.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,347.04 / $8,957.00 / $26,542.00	Facility		$2,347.04	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $143.69 / $849.00 / $849.00	Facility	AS	$143.69	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.30 / $858.79 / $1,220.40	Facility		$664.30	$858.79	$1,220.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $70.58 / $70.58 / $201.27	Facility	AS	$70.58	$70.58	$201.27
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