Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,833.00 / $22,788.00	Facility		$2,421.00	$9,833.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $9,830.00 / $20,634.00	Facility		$3,585.00	$9,830.00	$20,634.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,668.76	Facility		$66.00	$100.00	$15,668.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $6,894.76 / $12,348.83	Facility		$4,445.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $618.39 / $872.76 / $1,178.23	Professional		$618.39	$872.76	$1,178.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.11 / $978.41 / $1,806.57	Professional		$717.11	$978.41	$1,806.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,503.05 / $19,913.50 / $26,542.00	Facility		$3,503.05	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $170.33 / $1,887.52 / $1,887.52	Facility	AS	$170.33	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $785.55 / $982.03 / $1,463.68	Facility		$785.55	$982.03	$1,463.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.11 / $84.11 / $241.57	Facility	AS	$84.11	$84.11	$241.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,267.00 / $26,109.00	Facility		$5,799.00	$12,267.00	$26,109.00