Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,031.00 / $22,085.00	Facility		$3,222.00	$9,031.00	$22,085.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,305.65	Facility		$64.40	$100.00	$5,305.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $4,446.00 / $4,446.00	Facility		$4,446.00	$4,446.00	$4,446.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $499.74 / $1,057.14	Professional		$330.23	$499.74	$1,057.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $939.52 / $1,752.07	Professional		$684.00	$939.52	$1,752.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,174.89 / $4,244.80	Facility		$55.00	$4,174.89	$4,244.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $142.26 / $335.16 / $367.24	Facility	AS	$142.26	$335.16	$367.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $721.08 / $927.36 / $1,237.01	Facility		$721.08	$927.36	$1,237.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.56 / $81.56 / $235.02	Facility	AS	$81.56	$81.56	$235.02
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00