Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $6,640.00 / $18,483.00	Facility		$1,758.00	$6,640.00	$18,483.00
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 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $554.35 / $856.43 / $1,156.18	Professional		$554.35	$856.43	$1,156.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $698.16 / $954.51 / $1,716.00	Professional		$698.16	$954.51	$1,716.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,718.08 / $19,913.50 / $26,542.00	Facility		$2,718.08	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $166.33 / $1,887.52 / $1,887.52	Facility	AS	$166.33	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.36 / $919.56 / $1,269.59	Facility		$727.36	$919.56	$1,269.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.69 / $81.69 / $234.03	Facility	AS	$81.69	$81.69	$234.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00