Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,944.00 / $13,012.00	Facility		$2,137.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,166.80	Facility		$66.00	$100.00	$6,166.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $332.46 / $914.56 / $1,234.66	Professional		$332.46	$914.56	$1,234.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.29 / $989.40 / $1,713.00	Professional		$723.29	$989.40	$1,713.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,762.68 / $8,957.00 / $12,000.00	Facility		$2,762.68	$8,957.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $170.99 / $849.00 / $849.00	Facility	AS	$170.99	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $755.81 / $976.31 / $1,340.04	Facility		$755.81	$976.31	$1,340.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $246.15	Facility	AS	$84.30	$84.30	$246.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00