Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,281.00 / $18,293.00	Facility		$1,956.72	$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 / $9,686.74	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 $348.85 / $679.87 / $917.82	Professional		$348.85	$679.87	$917.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.85 / $755.05 / $1,308.00	Professional		$554.85	$755.05	$1,308.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,145.64 / $8,957.00 / $26,542.00	Facility		$2,145.64	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $131.41 / $849.00 / $849.00	Facility	AS	$131.41	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.82 / $781.05 / $1,145.41	Facility		$607.82	$781.05	$1,145.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $64.56 / $64.56 / $184.45	Facility	AS	$64.56	$64.56	$184.45
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