Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,695.00 / $17,380.00	Facility		$2,387.00	$6,695.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $5,980.00	Facility		$1,390.96	$1,393.42	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $343.26 / $499.33 / $674.10	Professional		$343.26	$499.33	$674.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.57 / $563.89 / $1,010.36	Professional		$407.57	$563.89	$1,010.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,576.56 / $4,017.35	Facility		$55.00	$1,576.56	$4,017.35
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $96.50 / $380.79 / $380.79	Facility	AS	$96.50	$380.79	$380.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.25 / $549.05 / $758.46	Facility		$439.25	$549.05	$758.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $47.39 / $47.39 / $134.87	Facility	AS	$47.39	$47.39	$134.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,335.00 / $14,743.00	Facility		$3,459.00	$7,335.00	$14,743.00