Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,640.00 / $17,538.00	Facility		$1,174.00	$6,640.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $13,707.00	Facility		$2,275.00	$7,007.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $8,337.77	Facility		$65.90	$100.00	$8,337.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $110.49 / $149.16	Professional		$84.51	$110.49	$149.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $129.13 / $265.17	Professional		$93.59	$129.13	$265.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.17 / $3,461.67 / $26,542.00	Facility		$261.17	$3,461.67	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $19.89 / $46.47 / $49.40	Facility	AS	$19.89	$46.47	$49.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.60 / $134.18 / $196.14	Facility		$106.60	$134.18	$196.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $11.30 / $11.30 / $32.43	Facility	AS	$11.30	$11.30	$32.43
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00