Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,945.00 / $18,681.00	Facility		$1,992.00	$7,945.00	$18,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,035.69	Facility		$66.00	$100.00	$11,035.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $8,988.71 / $16,099.19	Facility		$2,813.00	$8,988.71	$16,099.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,202.51 / $1,623.39	Professional		$716.68	$1,202.51	$1,623.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.69 / $1,341.41 / $2,498.62	Professional		$962.69	$1,341.41	$2,498.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,891.44 / $25,961.25 / $26,542.00	Facility		$3,891.44	$25,961.25	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $236.73 / $2,460.76 / $2,460.76	Facility	AS	$236.73	$2,460.76	$2,460.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,102.56 / $1,399.85 / $1,941.39	Facility		$1,102.56	$1,399.85	$1,941.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $116.84 / $116.84 / $336.47	Facility	AS	$116.84	$116.84	$336.47
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $28,973.00	Facility		$7,212.00	$13,651.00	$28,973.00