Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $6,628.00 / $17,809.00	Facility		$1,758.00	$6,628.00	$17,809.00
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 / $8,427.70	Facility		$66.00	$100.00	$8,427.70
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 $421.82 / $1,207.21 / $1,629.73	Professional		$421.82	$1,207.21	$1,629.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $968.21 / $1,361.15 / $2,436.59	Professional		$968.21	$1,361.15	$2,436.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,905.52 / $19,913.50 / $26,542.00	Facility		$3,905.52	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $239.09 / $1,887.52 / $1,887.52	Facility	AS	$239.09	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,038.33 / $1,329.05 / $1,827.44	Facility		$1,038.33	$1,329.05	$1,827.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $330.68	Facility	AS	$118.18	$118.18	$330.68
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,555.00 / $29,312.00	Facility		$7,212.00	$13,555.00	$29,312.00