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 $4,314.00 / $12,159.00 / $34,930.00	Facility		$4,314.00	$12,159.00	$34,930.00
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 $843.26 / $1,276.09 / $2,110.80	Professional		$843.26	$1,276.09	$2,110.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,353.57 / $1,904.19 / $3,412.71	Professional		$1,353.57	$1,904.19	$3,412.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,412.95 / $8,622.00	Facility		$55.00	$8,412.95	$8,622.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $287.30 / $676.22 / $736.83	Facility	AS	$287.30	$676.22	$736.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,535.78 / $1,887.83 / $2,478.73	Facility		$1,535.78	$1,887.83	$2,478.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $165.90 / $165.90 / $478.99	Facility	AS	$165.90	$165.90	$478.99
United Facility/Professional Facility Modifier Low / Median / High Price $7,694.00 / $13,007.00 / $28,973.00	Facility		$7,694.00	$13,007.00	$28,973.00