Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,343.00 / $6,423.00 / $17,013.00	Facility		$1,343.00	$6,423.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,337.77	Facility		$66.00	$100.00	$8,337.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $328.74 / $541.77 / $731.39	Professional		$328.74	$541.77	$731.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.34 / $611.16 / $1,034.29	Professional		$442.34	$611.16	$1,034.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,559.17 / $8,957.00 / $26,542.00	Facility		$2,559.17	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $105.80 / $849.00 / $849.00	Facility	AS	$105.80	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.43 / $621.34 / $866.63	Facility		$484.43	$621.34	$866.63
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $172.80 / $172.80 / $172.80	Facility	80	$172.80	$172.80	$172.80
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $51.49 / $51.49 / $146.88	Facility	AS	$51.49	$51.49	$146.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00