Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,108.00 / $17,701.00	Facility		$2,387.00	$7,108.00	$17,701.00
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 $375.28 / $576.82 / $778.71	Professional		$375.28	$576.82	$778.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.16 / $648.23 / $1,159.05	Professional		$474.16	$648.23	$1,159.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,845.60 / $8,957.00 / $26,542.00	Facility		$1,845.60	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $113.75 / $849.00 / $849.00	Facility	AS	$113.75	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.84 / $684.28 / $1,091.66	Facility		$526.84	$684.28	$1,091.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.00 / $56.00 / $159.33	Facility	AS	$56.00	$56.00	$159.33
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