Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.40 / $5,679.00 / $16,573.00	Facility		$572.40	$5,679.00	$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 $205.88 / $466.55 / $878.70	Professional		$205.88	$466.55	$878.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.83 / $575.64 / $995.02	Professional		$367.83	$575.64	$995.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,682.60 / $1,827.99 / $16,394.00	Facility		$1,682.60	$1,827.99	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.01 / $182.80 / $182.80	Facility	AS	$165.01	$182.80	$182.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.27 / $560.98 / $823.17	Facility		$433.27	$560.98	$823.17
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $60.88 / $60.88 / $169.27	Facility	AS	$60.88	$60.88	$169.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00