Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,859.00 / $19,368.00	Facility		$2,387.00	$8,859.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,426.45	Facility		$64.40	$100.00	$8,426.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $969.84 / $1,443.00 / $1,834.58	Professional		$969.84	$1,443.00	$1,834.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.61 / $1,631.41 / $3,013.34	Professional		$1,174.61	$1,631.41	$3,013.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,126.62 / $10,338.79	Facility		$55.00	$10,126.62	$10,338.79
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $247.30 / $581.61 / $631.60	Facility	AS	$247.30	$581.61	$631.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,315.28 / $1,658.76 / $2,325.00	Facility		$1,315.28	$1,658.76	$2,325.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $142.16 / $142.16 / $409.09	Facility	AS	$142.16	$142.16	$409.09
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00