Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$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 $337.30 / $774.97 / $1,046.21	Professional		$337.30	$774.97	$1,046.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.79 / $857.49 / $1,554.17	Professional		$635.79	$857.49	$1,554.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,097.05 / $19,913.50 / $26,542.00	Facility		$3,097.05	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.63 / $1,887.52 / $1,887.52	Facility	AS	$150.63	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $694.66 / $859.86 / $1,216.85	Facility		$694.66	$859.86	$1,216.85
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $74.48 / $74.48 / $213.28	Facility	AS	$74.48	$74.48	$213.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $21,278.00	Facility		$5,116.00	$9,759.00	$21,278.00