Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,054.00	Facility		$1,919.00	$6,159.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $6,945.00 / $20,786.00	Facility		$2,424.00	$6,945.00	$20,786.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,121.41	Facility		$64.40	$100.00	$7,121.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,713.00 / $2,713.00 / $2,713.00	Facility		$2,713.00	$2,713.00	$2,713.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $690.99 / $794.64 / $1,036.49	Professional		$690.99	$794.64	$1,036.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.96 / $846.24 / $1,538.31	Professional		$620.96	$846.24	$1,538.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,201.77 / $5,303.62	Facility		$55.00	$5,201.77	$5,303.62
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $126.53 / $298.37 / $327.73	Facility	AS	$126.53	$298.37	$327.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.27 / $827.71 / $1,151.47	Facility		$644.27	$827.71	$1,151.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $72.81 / $72.81 / $207.82	Facility	AS	$72.81	$72.81	$207.82
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00