Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,483.00	Facility		$1,992.00	$7,648.00	$18,483.00
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 $377.51 / $1,018.49 / $1,374.96	Professional		$377.51	$1,018.49	$1,374.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,107.28 / $2,000.42	Professional		$801.00	$1,107.28	$2,000.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,101.80 / $19,913.50 / $26,542.00	Facility		$3,101.80	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.64 / $1,887.52 / $1,887.52	Facility	AS	$191.64	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $872.10 / $1,091.14 / $1,500.31	Facility		$872.10	$1,091.14	$1,500.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.51 / $94.51 / $274.77	Facility	AS	$94.51	$94.51	$274.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $20,988.00	Facility		$4,523.00	$9,758.00	$20,988.00