Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $19,860.00	Facility		$2,616.00	$8,870.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,447.00 / $18,544.00	Facility		$2,822.00	$9,447.00	$18,544.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,117.03	Facility		$66.00	$100.00	$11,117.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $3,930.72 / $7,040.10	Facility		$3,203.00	$3,930.72	$7,040.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $777.36 / $993.77 / $1,470.48	Professional		$777.36	$993.77	$1,470.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $802.81 / $1,113.36 / $1,995.40	Professional		$802.81	$1,113.36	$1,995.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,182.80 / $11,352.75 / $26,542.00	Facility		$3,182.80	$11,352.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.16 / $1,076.08 / $1,076.08	Facility	AS	$194.16	$1,076.08	$1,076.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.01 / $1,118.93 / $1,575.00	Facility		$892.01	$1,118.93	$1,575.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $95.70 / $95.70 / $274.11	Facility	AS	$95.70	$95.70	$274.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00