Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,188.00 / $9,005.00 / $21,487.00	Facility		$3,188.00	$9,005.00	$21,487.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $10,373.42	Facility		$66.90	$100.00	$10,373.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $864.40 / $1,166.94	Professional		$421.82	$864.40	$1,166.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.25 / $932.01 / $1,717.89	Professional		$682.25	$932.01	$1,717.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,596.60 / $8,957.00 / $26,542.00	Facility		$2,596.60	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $160.91 / $849.00 / $849.00	Facility	AS	$160.91	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $747.81 / $930.12 / $1,265.68	Facility		$747.81	$930.12	$1,265.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $79.34 / $79.34 / $231.74	Facility	AS	$79.34	$79.34	$231.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00