Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,639.00 / $20,509.00	Facility		$2,843.00	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,653.00 / $13,255.00 / $40,888.00	Facility		$4,653.00	$13,255.00	$40,888.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,646.91	Facility		$64.40	$100.00	$7,646.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $2,781.00 / $2,781.00	Facility		$2,781.00	$2,781.00	$2,781.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $915.11 / $1,272.97 / $1,718.51	Professional		$915.11	$1,272.97	$1,718.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,036.19 / $1,439.15 / $2,616.96	Professional		$1,036.19	$1,439.15	$2,616.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,207.52 / $10,394.40	Facility		$55.00	$10,207.52	$10,394.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $217.88 / $511.97 / $556.79	Facility	AS	$217.88	$511.97	$556.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,172.20 / $1,478.64 / $2,213.78	Facility		$1,172.20	$1,478.64	$2,213.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $124.78 / $124.78 / $358.64	Facility	AS	$124.78	$124.78	$358.64
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00