Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,029.00 / $21,886.00	Facility		$2,421.00	$9,029.00	$21,886.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,031.00 / $22,085.00	Facility		$3,222.00	$9,031.00	$22,085.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
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 $590.47 / $893.56 / $1,189.69	Professional		$590.47	$893.56	$1,189.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $771.99 / $1,068.94 / $1,941.22	Professional		$771.99	$1,068.94	$1,941.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,702.00 / $4,787.75	Facility		$55.00	$4,702.00	$4,787.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $160.30 / $377.70 / $413.52	Facility	AS	$160.30	$377.70	$413.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $865.70 / $1,120.69 / $1,520.49	Facility		$865.70	$1,120.69	$1,520.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.05 / $92.05 / $264.39	Facility	AS	$92.05	$92.05	$264.39
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,313.00 / $26,451.00	Facility		$5,478.00	$12,313.00	$26,451.00