Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.09 / $6,322.00 / $17,701.00	Facility		$685.09	$6,322.00	$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 / $8,877.60	Facility		$66.00	$100.00	$8,877.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $328.74 / $621.86 / $1,085.41	Professional		$328.74	$621.86	$1,085.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.68 / $730.97 / $1,255.92	Professional		$495.68	$730.97	$1,255.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,314.96 / $2,454.98 / $26,542.00	Facility		$2,314.96	$2,454.98	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $223.29 / $245.50 / $245.50	Facility	AS	$223.29	$245.50	$245.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $583.99 / $759.08 / $1,072.80	Facility		$583.99	$759.08	$1,072.80
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.00 / $83.00 / $216.67	Facility	AS	$83.00	$83.00	$216.67
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,407.00 / $28,973.00	Facility		$6,366.00	$13,407.00	$28,973.00