Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.50 / $6,264.00 / $17,380.00	Facility		$696.50	$6,264.00	$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 $371.18 / $690.21 / $1,177.33	Professional		$371.18	$690.21	$1,177.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.35 / $802.51 / $1,363.39	Professional		$550.35	$802.51	$1,363.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,554.52 / $2,722.80 / $26,542.00	Facility		$2,554.52	$2,722.80	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $247.81 / $272.27 / $272.27	Facility	AS	$247.81	$272.27	$272.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $812.67 / $1,169.81	Facility		$645.00	$812.67	$1,169.81
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $91.69 / $91.69 / $229.45	Facility	AS	$91.69	$91.69	$229.45
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