Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $21,960.90	Facility		$1,820.00	$6,880.00	$21,960.90
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 / $9,551.48 / $17,107.12	Facility		$2,277.00	$9,551.48	$17,107.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $905.20 / $1,222.02	Professional		$463.89	$905.20	$1,222.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.68 / $1,003.85 / $1,896.00	Professional		$732.68	$1,003.85	$1,896.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,896.24 / $26,542.00 / $27,586.60	Facility		$2,896.24	$26,542.00	$27,586.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $176.86 / $2,614.82 / $2,614.82	Facility	AS	$176.86	$2,614.82	$2,614.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.87 / $1,042.46 / $1,496.66	Facility		$825.87	$1,042.46	$1,496.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $87.09 / $87.09 / $249.65	Facility	AS	$87.09	$87.09	$249.65
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,341.00 / $26,451.00	Facility		$6,142.00	$12,341.00	$26,451.00