Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,809.00	Facility		$1,820.00	$6,695.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,289.73 / $16,638.33	Facility		$2,277.00	$9,289.73	$16,638.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $548.03 / $881.72 / $1,190.32	Professional		$548.03	$881.72	$1,190.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $713.45 / $986.79 / $1,769.04	Professional		$713.45	$986.79	$1,769.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,523.85 / $26,542.00 / $26,830.65	Facility		$3,523.85	$26,542.00	$26,830.65
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.03 / $2,543.17 / $2,543.17	Facility	AS	$172.03	$2,543.17	$2,543.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $790.92 / $1,000.48 / $1,381.69	Facility		$790.92	$1,000.48	$1,381.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.56 / $84.56 / $238.51	Facility	AS	$84.56	$84.56	$238.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $9,539.00 / $20,217.00	Facility		$5,200.00	$9,539.00	$20,217.00