Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,830.00 / $19,011.00	Facility		$1,992.00	$7,830.00	$19,011.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $575.19 / $845.10	Professional		$446.76	$575.19	$845.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.06 / $641.29 / $1,146.59	Professional		$469.06	$641.29	$1,146.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,267.44 / $8,957.00 / $26,542.00	Facility		$2,267.44	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $110.69 / $849.00 / $849.00	Facility	AS	$110.69	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.03 / $635.80 / $971.90	Facility		$513.03	$635.80	$971.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $54.47 / $54.47 / $155.29	Facility	AS	$54.47	$54.47	$155.29
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00