Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $19,368.00	Facility		$2,616.00	$8,870.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,539.24	Facility		$66.00	$100.00	$11,539.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $8,738.87 / $15,651.72	Facility		$3,203.00	$8,738.87	$15,651.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $956.66 / $1,291.49	Professional		$590.47	$956.66	$1,291.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $774.78 / $1,072.11 / $1,848.81	Professional		$774.78	$1,072.11	$1,848.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,605.24 / $25,239.65 / $26,542.00	Facility		$4,605.24	$25,239.65	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $186.63 / $2,392.36 / $2,392.36	Facility	AS	$186.63	$2,392.36	$2,392.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $861.17 / $1,077.72 / $1,533.57	Facility		$861.17	$1,077.72	$1,533.57
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.68 / $92.68 / $266.58	Facility	AS	$92.68	$92.68	$266.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00