Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,000.00 / $20,135.00	Facility		$1,758.00	$7,000.00	$20,135.00
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 / $8,938.65	Facility		$66.00	$100.00	$8,938.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $17,201.02 / $30,807.81	Facility		$2,277.00	$17,201.02	$30,807.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $903.94 / $1,314.08 / $1,774.01	Professional		$903.94	$1,314.08	$1,774.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.83 / $1,466.08 / $2,667.29	Professional		$1,058.83	$1,466.08	$2,667.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,182.84 / $26,542.00 / $49,680.10	Facility		$4,182.84	$26,542.00	$49,680.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $255.14 / $4,708.97 / $4,708.97	Facility	AS	$255.14	$4,708.97	$4,708.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $1,435.02 / $1,963.50	Facility		$1,169.00	$1,435.02	$1,963.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $126.35 / $126.35 / $364.86	Facility	AS	$126.35	$126.35	$364.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,797.00 / $29,312.00	Facility		$7,696.00	$13,797.00	$29,312.00