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 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.68 / $846.32 / $1,142.53	Professional		$337.68	$846.32	$1,142.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.46 / $943.93 / $1,691.82	Professional		$683.46	$943.93	$1,691.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,345.25 / $8,957.00	Facility		$55.00	$3,345.25	$8,957.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.50 / $849.00 / $849.00	Facility	AS	$165.50	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $720.11 / $924.31 / $1,248.71	Facility		$720.11	$924.31	$1,248.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.87 / $80.87 / $232.50	Facility	AS	$80.87	$80.87	$232.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,713.00 / $21,278.00	Facility		$4,509.00	$9,713.00	$21,278.00