Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
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 / $8,337.77	Facility		$66.00	$100.00	$8,337.77
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 $337.30 / $767.04 / $1,035.50	Professional		$337.30	$767.04	$1,035.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $627.29 / $854.32 / $1,533.40	Professional		$627.29	$854.32	$1,533.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,432.12 / $8,957.00 / $26,542.00	Facility		$2,432.12	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $148.82 / $849.00 / $849.00	Facility	AS	$148.82	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $686.03 / $868.80 / $1,150.05	Facility		$686.03	$868.80	$1,150.05
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $73.26 / $73.26 / $209.02	Facility	AS	$73.26	$73.26	$209.02
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