Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,858.00 / $19,368.00	Facility		$2,387.00	$8,858.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,816.00 / $18,595.00	Facility		$3,028.00	$9,816.00	$18,595.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,579.51	Facility		$66.00	$100.00	$12,579.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $16,955.99 / $30,368.95	Facility		$3,203.00	$16,955.99	$30,368.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $673.12 / $1,023.79 / $1,382.12	Professional		$673.12	$1,023.79	$1,382.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.25 / $1,145.16 / $2,082.46	Professional		$826.25	$1,145.16	$2,082.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,269.12 / $26,542.00 / $48,972.40	Facility		$3,269.12	$26,542.00	$48,972.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $199.70 / $4,641.89 / $4,641.89	Facility	AS	$199.70	$4,641.89	$4,641.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $918.06 / $1,142.49 / $1,538.49	Facility		$918.06	$1,142.49	$1,538.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $98.20 / $98.20 / $280.23	Facility	AS	$98.20	$98.20	$280.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00