Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,146.30 / $18,252.00	Facility		$2,387.00	$7,146.30	$18,252.00
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 / $8,389.08	Facility		$66.00	$100.00	$8,389.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,106.72 / $5,554.45	Facility		$2,277.00	$3,106.72	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $411.02 / $591.39 / $798.38	Professional		$411.02	$591.39	$798.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.99 / $660.30 / $1,180.63	Professional		$482.99	$660.30	$1,180.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,337.80 / $8,957.00 / $26,542.00	Facility		$2,337.80	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $114.30 / $849.00 / $849.00	Facility	AS	$114.30	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $528.24 / $659.42 / $1,065.32	Facility		$528.24	$659.42	$1,065.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $55.89 / $55.89 / $160.10	Facility	AS	$55.89	$55.89	$160.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $9,759.00 / $21,278.00	Facility		$4,980.00	$9,759.00	$21,278.00