Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $5,980.00 / $22,586.08	Facility		$1,652.00	$5,980.00	$22,586.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $11,222.00	Facility		$1,723.00	$4,720.00	$11,222.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $6,615.52	Facility		$66.90	$100.00	$6,615.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $6,894.76 / $12,348.83	Facility		$1,487.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $748.31 / $1,010.22	Professional		$463.89	$748.31	$1,010.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.64 / $825.11 / $1,485.33	Professional		$607.64	$825.11	$1,485.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,920.10 / $12,000.00 / $19,913.50	Facility		$2,920.10	$12,000.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $143.15 / $1,887.52 / $1,887.52	Facility	AS	$143.15	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $665.18 / $810.18 / $1,126.64	Facility		$665.18	$810.18	$1,126.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $70.80 / $70.80 / $204.11	Facility	AS	$70.80	$70.80	$204.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $20,988.00	Facility		$4,728.00	$9,759.00	$20,988.00