Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,031.00 / $22,085.00	Facility		$3,222.00	$9,031.00	$22,085.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $9,919.41	Facility		$64.40	$100.00	$9,919.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,666.00 / $6,666.00 / $6,666.00	Facility		$6,666.00	$6,666.00	$6,666.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,423.33	Professional		$505.96	$765.66	$1,423.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.38 / $1,266.72 / $2,275.09	Professional		$902.38	$1,266.72	$2,275.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,766.71 / $7,993.09	Facility		$55.00	$7,766.71	$7,993.09
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $188.57 / $445.06 / $491.21	Facility	AS	$188.57	$445.06	$491.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $996.16 / $1,224.88 / $1,689.29	Facility		$996.16	$1,224.88	$1,689.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $317.80	Facility	AS	$109.68	$109.68	$317.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00