Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $19,011.00	Facility		$1,992.00	$7,648.00	$19,011.00
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 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,106.72 / $6,000.00	Facility		$2,813.00	$3,106.72	$6,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $537.17 / $725.19	Professional		$379.37	$537.17	$725.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.18 / $605.35 / $1,071.10	Professional		$438.18	$605.35	$1,071.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.52 / $8,957.00 / $26,542.00	Facility		$1,689.52	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $104.47 / $849.00 / $849.00	Facility	AS	$104.47	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.81 / $611.95 / $910.83	Facility		$479.81	$611.95	$910.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $50.85 / $50.85 / $146.12	Facility	AS	$50.85	$50.85	$146.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,707.00 / $20,988.00	Facility		$4,523.00	$9,707.00	$20,988.00