Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,494.00 / $18,483.00	Facility		$1,992.00	$7,494.00	$18,483.00
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 $632.91 / $812.24 / $1,197.23	Professional		$632.91	$812.24	$1,197.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.10 / $907.71 / $1,628.53	Professional		$665.10	$907.71	$1,628.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,244.35 / $8,957.00 / $26,542.00	Facility		$3,244.35	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $157.83 / $849.00 / $849.00	Facility	AS	$157.83	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $729.54 / $901.03 / $1,382.30	Facility		$729.54	$901.03	$1,382.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $77.95 / $77.95 / $223.22	Facility	AS	$77.95	$77.95	$223.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00