Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,538.00	Facility		$2,197.85	$6,695.00	$17,538.00
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 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $438.57 / $705.35 / $952.22	Professional		$438.57	$705.35	$952.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.66 / $799.07 / $1,429.19	Professional		$584.66	$799.07	$1,429.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,465.42 / $6,817.20 / $26,542.00	Facility		$3,465.42	$6,817.20	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $139.02 / $646.16 / $646.16	Facility	AS	$139.02	$646.16	$646.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.10 / $765.77 / $1,105.96	Facility		$590.10	$765.77	$1,105.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.23 / $69.23 / $198.21	Facility	AS	$69.23	$69.23	$198.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,161.00 / $4,060.00 / $9,682.00	Facility		$2,161.00	$4,060.00	$9,682.00