Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,858.00 / $21,960.90	Facility		$1,956.72	$7,858.00	$21,960.90
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 $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
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 $352.94 / $942.26 / $1,272.05	Professional		$352.94	$942.26	$1,272.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.19 / $1,019.34 / $1,876.39	Professional		$745.19	$1,019.34	$1,876.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,845.68 / $8,957.00 / $26,542.00	Facility		$2,845.68	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $176.20 / $849.00 / $849.00	Facility	AS	$176.20	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,005.82 / $1,379.60	Facility		$775.00	$1,005.82	$1,379.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.98 / $86.98 / $253.25	Facility	AS	$86.98	$86.98	$253.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00