Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $5,829.00 / $16,973.00	Facility		$1,390.35	$5,829.00	$16,973.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $586.53 / $791.82	Professional		$278.48	$586.53	$791.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.71 / $657.75 / $1,126.20	Professional		$480.71	$657.75	$1,126.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.20 / $8,957.00 / $16,394.00	Facility		$1,862.20	$8,957.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $115.43 / $849.00 / $849.00	Facility	AS	$115.43	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.95 / $652.16 / $900.18	Facility		$526.95	$652.16	$900.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.11 / $56.11 / $159.22	Facility	AS	$56.11	$56.11	$159.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00