Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,521.05	Facility		$66.00	$100.00	$7,521.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,716.86 / $15,612.29	Facility		$1,992.00	$8,716.86	$15,612.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $316.08 / $500.18 / $675.24	Professional		$316.08	$500.18	$675.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.11 / $561.69 / $975.00	Professional		$407.11	$561.69	$975.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,565.24 / $16,394.00 / $25,176.10	Facility		$1,565.24	$16,394.00	$25,176.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $96.92 / $2,386.34 / $2,386.34	Facility	AS	$96.92	$2,386.34	$2,386.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.12 / $574.00 / $850.37	Facility		$446.12	$574.00	$850.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $48.17 / $48.17 / $136.94	Facility	AS	$48.17	$48.17	$136.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,758.00 / $21,278.00	Facility		$5,116.00	$9,758.00	$21,278.00