Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,108.00 / $17,902.00	Facility		$2,421.00	$7,108.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,035.00 / $14,981.00	Facility		$2,675.00	$7,035.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,739.33	Facility		$66.00	$100.00	$8,739.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,554.45 / $25,197.00	Facility		$2,277.00	$5,554.45	$25,197.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $418.84 / $703.59 / $949.85	Professional		$418.84	$703.59	$949.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.22 / $787.33 / $1,352.05	Professional		$576.22	$787.33	$1,352.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,359.22 / $8,957.00 / $26,542.00	Facility		$3,359.22	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $136.55 / $849.00 / $849.00	Facility	AS	$136.55	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.86 / $790.84 / $1,284.18	Facility		$629.86	$790.84	$1,284.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.22 / $67.22 / $193.41	Facility	AS	$67.22	$67.22	$193.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00