Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,631.00 / $17,538.00	Facility		$2,197.85	$6,631.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $611.69 / $831.71 / $1,685.12	Professional		$611.69	$831.71	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.70 / $943.36 / $1,693.27	Professional		$692.70	$943.36	$1,693.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,128.12 / $6,817.20	Facility		$55.00	$4,128.12	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.45 / $646.16 / $646.16	Facility	AS	$165.45	$646.16	$646.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $747.03 / $932.04 / $1,279.67	Facility		$747.03	$932.04	$1,279.67
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $82.62 / $82.62 / $238.62	Facility	AS	$82.62	$82.62	$238.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00