Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,859.00 / $19,368.00	Facility		$2,421.00	$8,859.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,809.99	Facility		$64.40	$100.00	$5,809.99
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 $344.75 / $521.71 / $1,073.43	Professional		$344.75	$521.71	$1,073.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.43 / $968.49 / $1,675.39	Professional		$699.43	$968.49	$1,675.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,991.58 / $6,114.43	Facility		$55.00	$5,991.58	$6,114.43
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $146.13 / $343.94 / $374.75	Facility	AS	$146.13	$343.94	$374.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $725.13 / $951.11 / $1,276.43	Facility		$725.13	$951.11	$1,276.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.03 / $84.03 / $242.44	Facility	AS	$84.03	$84.03	$242.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00