Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.66 / $7,018.00 / $18,293.00	Facility		$793.66	$7,018.00	$18,293.00
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 / $10,378.59	Facility		$66.00	$100.00	$10,378.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $9,391.45 / $16,820.53	Facility		$2,813.00	$9,391.45	$16,820.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $271.77 / $744.81 / $1,285.25	Professional		$271.77	$744.81	$1,285.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.83 / $864.91 / $1,485.84	Professional		$592.83	$864.91	$1,485.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,732.72 / $2,934.12 / $26,542.00	Facility		$2,732.72	$2,934.12	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $266.74 / $293.41 / $293.41	Facility	AS	$266.74	$293.41	$293.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.10 / $854.73 / $1,250.05	Facility		$599.10	$854.73	$1,250.05
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $98.49 / $98.49 / $253.91	Facility	AS	$98.49	$98.49	$253.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,402.00 / $15,471.00	Facility		$3,523.00	$7,402.00	$15,471.00