Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,206.00 / $17,902.00	Facility		$2,387.00	$7,206.00	$17,902.00
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 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.81 / $1,742.25 / $2,177.81	Professional		$1,284.81	$1,742.25	$2,177.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,428.53 / $1,984.84 / $3,674.03	Professional		$1,428.53	$1,984.84	$3,674.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,892.40 / $9,070.70	Facility		$55.00	$8,892.40	$9,070.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $349.21 / $717.09 / $770.08	Facility	AS	$349.21	$717.09	$770.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,576.61 / $1,963.41 / $2,672.11	Facility		$1,576.61	$1,963.41	$2,672.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $175.11 / $175.11 / $505.85	Facility	AS	$175.11	$175.11	$505.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00