Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $18,252.00	Facility		$1,820.00	$6,695.00	$18,252.00
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 / $7,230.50	Facility		$64.40	$100.00	$7,230.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,978.00 / $3,978.00 / $3,978.00	Facility		$3,978.00	$3,978.00	$3,978.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $893.56 / $1,344.55	Professional		$590.47	$893.56	$1,344.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $863.25 / $1,214.10 / $2,176.28	Professional		$863.25	$1,214.10	$2,176.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $6,137.95 / $7,676.48	Facility		$2,000.00	$6,137.95	$7,676.48
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $183.49 / $431.74 / $469.88	Facility	AS	$183.49	$431.74	$469.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $974.54 / $1,226.53 / $1,619.94	Facility		$974.54	$1,226.53	$1,619.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $105.51 / $105.51 / $303.93	Facility	AS	$105.51	$105.51	$303.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00