Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.30 / $5,324.00 / $17,030.00	Facility		$808.30	$5,324.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,028.10	Facility		$66.00	$100.00	$8,028.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $789.73 / $1,350.92	Professional		$337.30	$789.73	$1,350.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $923.23 / $1,565.20	Professional		$630.72	$923.23	$1,565.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,897.76 / $3,118.33 / $16,394.00	Facility		$2,897.76	$3,118.33	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $284.14 / $311.83 / $311.83	Facility	AS	$284.14	$311.83	$311.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.64 / $894.40 / $1,307.20	Facility		$700.64	$894.40	$1,307.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $105.15 / $105.15 / $267.45	Facility	AS	$105.15	$105.15	$267.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00