Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,281.00 / $18,293.00	Facility		$1,992.00	$7,281.00	$18,293.00
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 $253.16 / $525.32 / $709.18	Professional		$253.16	$525.32	$709.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.56 / $588.41 / $1,042.71	Professional		$426.56	$588.41	$1,042.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,639.08 / $8,957.00 / $26,542.00	Facility		$1,639.08	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $100.65 / $849.00 / $849.00	Facility	AS	$100.65	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.06 / $597.62 / $840.51	Facility		$467.06	$597.62	$840.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $49.32 / $49.32 / $140.01	Facility	AS	$49.32	$49.32	$140.01
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