Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $18,252.00	Facility		$1,820.00	$6,695.00	$18,252.00
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 / $9,498.71	Facility		$66.00	$100.00	$9,498.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,267.71 / $16,598.90	Facility		$2,277.00	$9,267.71	$16,598.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $939.56 / $1,268.41	Professional		$590.47	$939.56	$1,268.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.47 / $1,054.43 / $1,915.83	Professional		$761.47	$1,054.43	$1,915.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,017.52 / $26,542.00 / $26,767.10	Facility		$3,017.52	$26,542.00	$26,767.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $183.97 / $2,537.14 / $2,537.14	Facility	AS	$183.97	$2,537.14	$2,537.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.59 / $1,116.17 / $1,572.41	Facility		$858.59	$1,116.17	$1,572.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $90.78 / $90.78 / $260.57	Facility	AS	$90.78	$90.78	$260.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00