Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $19,368.00	Facility		$2,616.00	$8,870.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,673.00 / $19,574.00	Facility		$2,822.00	$9,673.00	$19,574.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,796.81	Facility		$66.00	$100.00	$10,796.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,554.45	Facility		$3,101.23	$3,106.72	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $959.73 / $1,295.64	Professional		$400.59	$959.73	$1,295.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $777.39 / $1,075.78 / $1,954.63	Professional		$777.39	$1,075.78	$1,954.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,392.45 / $8,957.00 / $26,542.00	Facility		$5,392.45	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.24 / $849.00 / $849.00	Facility	AS	$187.24	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $849.84 / $1,051.86 / $1,439.64	Facility		$849.84	$1,051.86	$1,439.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.31 / $92.31 / $264.83	Facility	AS	$92.31	$92.31	$264.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00