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 / $19,368.00	Facility		$2,616.00	$9,006.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,919.07	Facility		$64.40	$100.00	$7,919.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $4,046.00 / $4,046.00	Facility		$4,046.00	$4,046.00	$4,046.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,403.99 / $1,768.61	Professional		$927.77	$1,403.99	$1,768.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,155.82 / $1,605.30 / $2,967.07	Professional		$1,155.82	$1,605.30	$2,967.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,151.60 / $7,306.25	Facility		$55.00	$7,151.60	$7,306.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $244.88 / $575.25 / $621.90	Facility	AS	$244.88	$575.25	$621.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,309.27 / $1,649.24 / $2,155.62	Facility		$1,309.27	$1,649.24	$2,155.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $140.69 / $140.69 / $405.82	Facility	AS	$140.69	$140.69	$405.82
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00