Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.17 / $6,880.00 / $27,501.00	Facility		$1,435.17	$6,880.00	$27,501.00
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 $66.90 / $100.00 / $10,417.96	Facility		$66.90	$100.00	$10,417.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,380.74 / $16,801.33	Facility		$2,277.00	$9,380.74	$16,801.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $832.43 / $915.67 / $6,697.19	Professional		$832.43	$915.67	$6,697.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.72 / $932.45 / $1,721.61	Professional		$683.72	$932.45	$1,721.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,332.55 / $26,542.00 / $27,093.50	Facility		$3,332.55	$26,542.00	$27,093.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $162.55 / $2,568.08 / $2,568.08	Facility	AS	$162.55	$2,568.08	$2,568.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $748.68 / $944.44 / $1,508.68	Facility		$748.68	$944.44	$1,508.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.34 / $80.34 / $231.19	Facility	AS	$80.34	$80.34	$231.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,312.00	Facility		$7,696.00	$13,722.00	$29,312.00