Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,000.00 / $18,681.00	Facility		$2,387.00	$7,000.00	$18,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.73 / $1,186.30 / $1,601.51	Professional		$691.73	$1,186.30	$1,601.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $938.33 / $1,315.91 / $2,386.00	Professional		$938.33	$1,315.91	$2,386.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,736.24 / $19,913.50 / $26,542.00	Facility		$3,736.24	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $228.98 / $1,887.52 / $1,887.52	Facility	AS	$228.98	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,042.58 / $1,292.83 / $1,736.00	Facility		$1,042.58	$1,292.83	$1,736.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $319.00	Facility	AS	$112.33	$112.33	$319.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.00 / $11,377.00 / $24,268.00	Facility		$6,456.00	$11,377.00	$24,268.00