Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,444.00 / $19,011.00	Facility		$1,992.00	$7,444.00	$19,011.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $576.32 / $798.95 / $1,090.19	Professional		$576.32	$798.95	$1,090.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.62 / $892.52 / $1,600.00	Professional		$653.62	$892.52	$1,600.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,186.65 / $19,913.50 / $26,542.00	Facility		$3,186.65	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $155.32 / $1,887.52 / $1,887.52	Facility	AS	$155.32	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $717.31 / $894.95 / $1,331.82	Facility		$717.31	$894.95	$1,331.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $76.84 / $76.84 / $220.38	Facility	AS	$76.84	$76.84	$220.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00