Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,809.00	Facility		$1,820.00	$6,695.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
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 $451.97 / $657.61 / $993.04	Professional		$451.97	$657.61	$993.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.57 / $733.79 / $1,318.00	Professional		$536.57	$733.79	$1,318.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,074.44 / $4,017.35	Facility		$55.00	$2,074.44	$4,017.35
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $127.07 / $380.79 / $380.79	Facility	AS	$127.07	$380.79	$380.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $578.34 / $722.93 / $998.77	Facility		$578.34	$722.93	$998.77
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $62.30 / $62.30 / $177.35	Facility	AS	$62.30	$62.30	$177.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,042.00 / $14,636.00	Facility		$3,698.00	$7,042.00	$14,636.00