Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
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 / $11,847.40	Facility		$66.00	$100.00	$11,847.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $9,070.21 / $16,245.16	Facility		$3,203.00	$9,070.21	$16,245.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $404.69 / $932.62 / $1,259.04	Professional		$404.69	$932.62	$1,259.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.58 / $1,000.99 / $1,847.16	Professional		$733.58	$1,000.99	$1,847.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,774.68 / $26,196.65 / $26,542.00	Facility		$2,774.68	$26,196.65	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.36 / $2,483.07 / $2,483.07	Facility	AS	$172.36	$2,483.07	$2,483.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $771.21 / $976.49 / $1,353.75	Facility		$771.21	$976.49	$1,353.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.97 / $84.97 / $248.12	Facility	AS	$84.97	$84.97	$248.12
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00