Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,690.00 / $23,352.00	Facility		$2,843.00	$9,690.00	$23,352.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,484.00 / $17,774.00	Facility		$3,204.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $14,871.05	Facility		$66.00	$100.00	$14,871.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,008.06 / $4,015.15 / $7,178.61	Facility		$4,008.06	$4,015.15	$7,178.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $497.39 / $1,019.40 / $1,376.19	Professional		$497.39	$1,019.40	$1,376.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,109.07 / $2,036.97	Professional		$801.00	$1,109.07	$2,036.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,108.08 / $11,576.10 / $26,542.00	Facility		$3,108.08	$11,576.10	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $192.02 / $1,097.25 / $1,097.25	Facility	AS	$192.02	$1,097.25	$1,097.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $893.13 / $1,110.65 / $1,503.14	Facility		$893.13	$1,110.65	$1,503.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.66 / $94.66 / $275.31	Facility	AS	$94.66	$94.66	$275.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00