Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,701.00	Facility		$1,820.00	$6,631.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,498.71	Facility		$66.00	$100.00	$9,498.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,357.54 / $16,759.79	Facility		$2,277.00	$9,357.54	$16,759.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $704.39 / $855.32 / $1,332.44	Professional		$704.39	$855.32	$1,332.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.28 / $961.58 / $1,773.37	Professional		$704.28	$961.58	$1,773.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,441.85 / $26,542.00 / $27,026.50	Facility		$3,441.85	$26,542.00	$27,026.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $167.95 / $2,561.73 / $2,561.73	Facility	AS	$167.95	$2,561.73	$2,561.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $782.53 / $988.51 / $1,464.46	Facility		$782.53	$988.51	$1,464.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $246.05	Facility	AS	$84.30	$84.30	$246.05
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00