Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,701.00	Facility		$2,197.85	$6,695.00	$17,701.00
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 / $8,569.29	Facility		$66.00	$100.00	$8,569.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,773.96 / $15,714.57	Facility		$2,277.00	$8,773.96	$15,714.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $800.34 / $1,080.46	Professional		$337.30	$800.34	$1,080.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.82 / $890.72 / $1,599.40	Professional		$645.82	$890.72	$1,599.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,537.04 / $25,341.00 / $26,542.00	Facility		$2,537.04	$25,341.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $154.93 / $2,401.96 / $2,401.96	Facility	AS	$154.93	$2,401.96	$2,401.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $715.47 / $882.23 / $1,199.55	Facility		$715.47	$882.23	$1,199.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $76.39 / $76.39 / $217.87	Facility	AS	$76.39	$76.39	$217.87
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,312.00	Facility		$7,696.00	$13,722.00	$29,312.00