Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,990.00 / $17,030.00	Facility		$1,919.00	$5,990.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,170.31	Facility		$66.00	$100.00	$7,170.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $579.73 / $782.64	Professional		$253.16	$579.73	$782.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.27 / $643.79 / $1,191.70	Professional		$473.27	$643.79	$1,191.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $8,957.00 / $16,394.00	Facility		$2,290.69	$8,957.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $111.81 / $849.00 / $849.00	Facility	AS	$111.81	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $624.38 / $869.28	Facility		$495.00	$624.38	$869.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $55.10 / $55.10 / $157.59	Facility	AS	$55.10	$55.10	$157.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00