Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,538.00	Facility		$2,197.85	$6,695.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,755.53 / $15,681.54	Facility		$2,277.00	$8,755.53	$15,681.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $695.83 / $967.94 / $1,316.25	Professional		$695.83	$967.94	$1,316.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.75 / $1,078.79 / $1,936.51	Professional		$789.75	$1,078.79	$1,936.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,845.75 / $25,287.75 / $26,542.00	Facility		$3,845.75	$25,287.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.64 / $2,396.92 / $2,396.92	Facility	AS	$187.64	$2,396.92	$2,396.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.05 / $1,069.91 / $1,466.10	Facility		$866.05	$1,069.91	$1,466.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.87 / $92.87 / $268.32	Facility	AS	$92.87	$92.87	$268.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,213.00 / $9,604.00 / $20,217.00	Facility		$5,213.00	$9,604.00	$20,217.00