Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $20,135.00	Facility		$2,616.00	$8,870.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $9,830.00 / $24,019.00	Facility		$3,738.00	$9,830.00	$24,019.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $12,285.48	Facility		$66.09	$100.00	$12,285.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,000.00 / $19,321.00 / $29,811.34	Facility		$11,000.00	$19,321.00	$29,811.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $753.16 / $978.40 / $1,424.70	Professional		$753.16	$978.40	$1,424.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,100.88 / $1,998.95	Professional		$801.00	$1,100.88	$1,998.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,953.00 / $33,500.00 / $48,073.20	Facility		$3,953.00	$33,500.00	$48,073.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.92 / $4,556.66 / $4,556.66	Facility	AS	$191.92	$4,556.66	$4,556.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.07 / $1,107.30 / $1,610.53	Facility		$883.07	$1,107.30	$1,610.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $95.07 / $95.07 / $272.80	Facility	AS	$95.07	$95.07	$272.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,840.00 / $32,191.00	Facility		$7,696.00	$13,840.00	$32,191.00