Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.17 / $6,631.00 / $17,701.00	Facility		$1,435.17	$6,631.00	$17,701.00
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 / $5,510.42	Facility		$66.00	$100.00	$5,510.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $638.33 / $990.58	Professional		$421.82	$638.33	$990.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.08 / $902.70 / $1,615.77	Professional		$651.08	$902.70	$1,615.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,609.40 / $7,768.60	Facility		$55.00	$2,609.40	$7,768.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $162.00 / $736.98 / $736.98	Facility	AS	$162.00	$736.98	$736.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $716.06 / $901.54 / $1,190.84	Facility		$716.06	$901.54	$1,190.84
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $228.79	Facility	AS	$78.93	$78.93	$228.79
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