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 $3,765.00 / $8,417.00 / $18,049.00	Facility		$3,765.00	$8,417.00	$18,049.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,999.02	Facility		$64.40	$100.00	$5,999.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,903.00 / $20,814.00 / $25,978.00	Facility		$2,903.00	$20,814.00	$25,978.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $893.56 / $1,201.79	Professional		$590.47	$893.56	$1,201.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $781.18 / $1,081.99 / $1,938.24	Professional		$781.18	$1,081.99	$1,938.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,673.94 / $6,821.36	Facility		$55.00	$6,673.94	$6,821.36
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $162.63 / $383.00 / $418.49	Facility	AS	$162.63	$383.00	$418.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $854.21 / $1,057.22 / $1,451.54	Facility		$854.21	$1,057.22	$1,451.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $93.69 / $93.69 / $269.74	Facility	AS	$93.69	$93.69	$269.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00