Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.30 / $5,382.00 / $16,573.00	Facility		$613.30	$5,382.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,159.08	Facility		$66.00	$100.00	$7,159.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $550.70 / $1,024.09	Professional		$253.54	$550.70	$1,024.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.37 / $670.54 / $1,159.01	Professional		$433.37	$670.54	$1,159.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,978.80 / $2,154.03 / $16,394.00	Facility		$1,978.80	$2,154.03	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.23 / $215.40 / $215.40	Facility	AS	$194.23	$215.40	$215.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.48 / $683.09 / $984.22	Facility		$509.48	$683.09	$984.22
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $71.41 / $71.41 / $199.20	Facility	AS	$71.41	$71.41	$199.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00