Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $18,681.00	Facility		$1,820.00	$6,880.00	$18,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $724.67 / $978.30	Professional		$463.89	$724.67	$978.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.33 / $807.86 / $1,507.00	Professional		$593.33	$807.86	$1,507.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,459.42 / $8,957.00 / $26,542.00	Facility		$3,459.42	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $140.38 / $849.00 / $849.00	Facility	AS	$140.38	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.48 / $808.91 / $1,161.59	Facility		$648.48	$808.91	$1,161.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.16 / $69.16 / $198.32	Facility	AS	$69.16	$69.16	$198.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00