Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,945.00 / $18,293.00	Facility		$2,197.85	$7,945.00	$18,293.00
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 $337.30 / $589.13 / $795.33	Professional		$337.30	$589.13	$795.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.87 / $656.24 / $1,173.02	Professional		$479.87	$656.24	$1,173.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,316.00 / $8,957.00 / $26,542.00	Facility		$2,316.00	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $113.20 / $849.00 / $849.00	Facility	AS	$113.20	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.96 / $646.64 / $942.61	Facility		$523.96	$646.64	$942.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $55.55 / $55.55 / $158.46	Facility	AS	$55.55	$55.55	$158.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00