Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,648.00 / $18,483.00	Facility		$1,956.72	$7,648.00	$18,483.00
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 / $10,317.12	Facility		$66.00	$100.00	$10,317.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $9,190.37 / $16,460.39	Facility		$2,813.00	$9,190.37	$16,460.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $786.67 / $1,062.00	Professional		$505.96	$786.67	$1,062.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.38 / $864.94 / $1,581.99	Professional		$637.38	$864.94	$1,581.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,442.88 / $26,542.00 / $26,543.70	Facility		$2,442.88	$26,542.00	$26,543.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.05 / $2,515.96 / $2,515.96	Facility	AS	$150.05	$2,515.96	$2,515.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $696.19 / $857.68 / $1,187.66	Facility		$696.19	$857.68	$1,187.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $73.78 / $73.78 / $212.19	Facility	AS	$73.78	$73.78	$212.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00