Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,631.00 / $18,309.00	Facility		$1,992.00	$7,631.00	$18,309.00
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 / $10,063.87	Facility		$66.00	$100.00	$10,063.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $776.42 / $1,048.17	Professional		$505.96	$776.42	$1,048.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.86 / $865.98 / $1,601.09	Professional		$635.86	$865.98	$1,601.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,089.80 / $19,913.50 / $26,542.00	Facility		$3,089.80	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.59 / $1,887.52 / $1,887.52	Facility	AS	$150.59	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $696.37 / $860.14 / $1,253.46	Facility		$696.37	$860.14	$1,253.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $74.42 / $74.42 / $213.17	Facility	AS	$74.42	$74.42	$213.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $20,988.00	Facility		$4,523.00	$9,758.00	$20,988.00