Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,176.11 / $18,293.00	Facility		$2,608.00	$7,176.11	$18,293.00
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 $419.95 / $706.47 / $953.73	Professional		$419.95	$706.47	$953.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.09 / $790.06 / $1,423.00	Professional		$578.09	$790.06	$1,423.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,804.80 / $8,957.00 / $26,542.00	Facility		$2,804.80	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $137.01 / $849.00 / $849.00	Facility	AS	$137.01	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $632.04 / $791.25 / $1,291.03	Facility		$632.04	$791.25	$1,291.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.59 / $67.59 / $192.97	Facility	AS	$67.59	$67.59	$192.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,749.16 / $9,758.00 / $21,278.00	Facility		$4,749.16	$9,758.00	$21,278.00