Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,954.00 / $18,293.00	Facility		$1,956.72	$7,954.00	$18,293.00
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 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $904.13 / $1,220.58	Professional		$329.11	$904.13	$1,220.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.64 / $977.18 / $1,768.27	Professional		$714.64	$977.18	$1,768.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,726.96 / $19,913.50 / $26,542.00	Facility		$2,726.96	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $168.82 / $1,887.52 / $1,887.52	Facility	AS	$168.82	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $746.54 / $964.51 / $1,324.51	Facility		$746.54	$964.51	$1,324.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.29 / $83.29 / $243.10	Facility	AS	$83.29	$83.29	$243.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $9,539.00 / $20,217.00	Facility		$5,200.00	$9,539.00	$20,217.00