Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.57 / $6,516.00 / $17,809.00	Facility		$630.57	$6,516.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $529.20 / $1,007.63	Professional		$295.23	$529.20	$1,007.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.93 / $660.76 / $1,142.03	Professional		$418.93	$660.76	$1,142.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,930.88 / $2,078.27 / $26,542.00	Facility		$1,930.88	$2,078.27	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $188.17 / $207.83 / $207.83	Facility	AS	$188.17	$207.83	$207.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $492.40 / $660.66 / $948.47	Facility		$492.40	$660.66	$948.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.45 / $69.45 / $195.70	Facility	AS	$69.45	$69.45	$195.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $7,206.00 / $14,636.00	Facility		$1,850.00	$7,206.00	$14,636.00