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 $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 / $8,427.70	Facility		$66.00	$100.00	$8,427.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $1,119.75 / $1,511.66	Professional		$590.47	$1,119.75	$1,511.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $898.08 / $1,263.25 / $2,295.10	Professional		$898.08	$1,263.25	$2,295.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,380.50 / $19,913.50 / $26,542.00	Facility		$6,380.50	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $220.77 / $1,887.52 / $1,887.52	Facility	AS	$220.77	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,013.49 / $1,275.14 / $1,698.06	Facility		$1,013.49	$1,275.14	$1,698.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $109.46 / $109.46 / $315.17	Facility	AS	$109.46	$109.46	$315.17
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00