Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,631.00 / $18,483.00	Facility		$1,992.00	$7,631.00	$18,483.00
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 $605.36 / $870.08 / $1,174.60	Professional		$605.36	$870.08	$1,174.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.91 / $975.35 / $1,748.38	Professional		$714.91	$975.35	$1,748.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,492.45 / $19,913.50 / $26,542.00	Facility		$3,492.45	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $169.76 / $1,887.52 / $1,887.52	Facility	AS	$169.76	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.12 / $978.90 / $1,414.00	Facility		$783.12	$978.90	$1,414.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.22 / $84.22 / $241.57	Facility	AS	$84.22	$84.22	$241.57
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