Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,697.00 / $20,103.00	Facility		$2,197.85	$6,697.00	$20,103.00
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 / $8,968.67	Facility		$66.00	$100.00	$8,968.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,242.12 / $16,553.07	Facility		$2,277.00	$9,242.12	$16,553.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,064.80 / $1,437.48	Professional		$505.96	$1,064.80	$1,437.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.56 / $1,191.46 / $2,165.98	Professional		$847.56	$1,191.46	$2,165.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,407.04 / $26,542.00 / $26,693.15	Facility		$3,407.04	$26,542.00	$26,693.15
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $207.43 / $2,530.14 / $2,530.14	Facility	AS	$207.43	$2,530.14	$2,530.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $950.60 / $1,179.45 / $1,567.50	Facility		$950.60	$1,179.45	$1,567.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $102.45 / $102.45 / $293.55	Facility	AS	$102.45	$102.45	$293.55
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00