Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
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 $5,980.00 / $9,121.95 / $16,337.84	Facility		$5,980.00	$9,121.95	$16,337.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,016.05 / $1,435.97	Professional		$759.12	$1,016.05	$1,435.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $822.65 / $1,142.51 / $2,074.67	Professional		$822.65	$1,142.51	$2,074.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,094.15 / $26,346.10	Facility		$55.00	$4,094.15	$26,346.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $199.31 / $2,497.23 / $2,497.23	Facility	AS	$199.31	$2,497.23	$2,497.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $916.27 / $1,161.30 / $1,657.44	Facility		$916.27	$1,161.30	$1,657.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $98.50 / $98.50 / $283.83	Facility	AS	$98.50	$98.50	$283.83
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,407.00 / $28,973.00	Facility		$6,366.00	$13,407.00	$28,973.00