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 $3,108.19 / $7,303.00 / $15,328.00	Facility		$3,108.19	$7,303.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,620.13	Facility		$64.40	$100.00	$5,620.13
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 $744.60 / $856.29 / $1,116.90	Professional		$744.60	$856.29	$1,116.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $666.68 / $908.39 / $1,600.00	Professional		$666.68	$908.39	$1,600.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,582.15 / $5,692.96	Facility		$55.00	$5,582.15	$5,692.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $135.75 / $320.17 / $351.86	Facility	AS	$135.75	$320.17	$351.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.03 / $899.94 / $1,383.26	Facility		$730.03	$899.94	$1,383.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $78.14 / $78.14 / $223.66	Facility	AS	$78.14	$78.14	$223.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,713.00 / $21,278.00	Facility		$4,509.00	$9,713.00	$21,278.00