Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,494.00 / $18,309.00	Facility		$2,197.85	$7,494.00	$18,309.00
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 / $9,686.74	Facility		$66.00	$100.00	$9,686.74
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 $325.39 / $600.58 / $810.78	Professional		$325.39	$600.58	$810.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.20 / $668.05 / $1,193.36	Professional		$488.20	$668.05	$1,193.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,878.44 / $8,957.00 / $26,542.00	Facility		$1,878.44	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $115.29 / $849.00 / $849.00	Facility	AS	$115.29	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $528.66 / $683.12 / $1,011.74	Facility		$528.66	$683.12	$1,011.74
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.52 / $56.52 / $160.97	Facility	AS	$56.52	$56.52	$160.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00