Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.18 / $6,486.00 / $17,380.00	Facility		$1,083.18	$6,486.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,094.72 / $1,752.49	Professional		$505.96	$1,094.72	$1,752.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $863.73 / $1,236.65 / $2,046.70	Professional		$863.73	$1,236.65	$2,046.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,954.20 / $4,289.92 / $26,542.00	Facility		$3,954.20	$4,289.92	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $387.54 / $428.99 / $428.99	Facility	AS	$387.54	$428.99	$428.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $960.18 / $1,225.02 / $1,698.01	Facility		$960.18	$1,225.02	$1,698.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $142.76 / $142.76 / $344.44	Facility	AS	$142.76	$142.76	$344.44
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