Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,631.00 / $17,701.00	Facility		$1,587.51	$6,631.00	$17,701.00
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 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $675.72 / $1,011.48 / $1,365.50	Professional		$675.72	$1,011.48	$1,365.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $814.04 / $1,126.26 / $2,022.26	Professional		$814.04	$1,126.26	$2,022.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,012.70 / $19,913.50 / $26,542.00	Facility		$4,012.70	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $195.84 / $1,887.52 / $1,887.52	Facility	AS	$195.84	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $904.49 / $1,115.36 / $1,618.37	Facility		$904.49	$1,115.36	$1,618.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $96.93 / $96.93 / $280.23	Facility	AS	$96.93	$96.93	$280.23
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