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 / $18,309.00	Facility		$1,992.00	$7,631.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,686.74	Facility		$66.00	$100.00	$9,686.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $950.85 / $1,283.65	Professional		$590.47	$950.85	$1,283.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.10 / $1,063.26 / $1,907.07	Professional		$769.10	$1,063.26	$1,907.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,799.80 / $8,957.00 / $26,542.00	Facility		$3,799.80	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $185.02 / $849.00 / $849.00	Facility	AS	$185.02	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $850.12 / $1,048.22 / $1,430.30	Facility		$850.12	$1,048.22	$1,430.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $91.49 / $91.49 / $261.55	Facility	AS	$91.49	$91.49	$261.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00