Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $21,405.00	Facility		$2,143.00	$5,863.00	$21,405.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,485.17	Facility		$64.40	$100.00	$5,485.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $638.33 / $1,366.76	Professional		$421.82	$638.33	$1,366.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.75 / $1,214.09 / $2,228.67	Professional		$865.75	$1,214.09	$2,228.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,394.70 / $5,452.45	Facility		$55.00	$5,394.70	$5,452.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $183.85 / $433.26 / $474.73	Facility	AS	$183.85	$433.26	$474.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $944.70 / $1,167.88 / $1,588.50	Facility		$944.70	$1,167.88	$1,588.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $104.84 / $299.45	Facility	AS	$104.84	$104.84	$299.45
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