Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,479.00 / $18,681.00	Facility		$2,387.00	$8,479.00	$18,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $11,723.00 / $22,417.00	Facility		$4,644.00	$11,723.00	$22,417.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $6,894.76 / $12,348.83	Facility		$5,980.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $884.58 / $1,164.96 / $4,922.37	Professional		$884.58	$1,164.96	$4,922.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.89 / $1,315.13 / $2,427.60	Professional		$946.89	$1,315.13	$2,427.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $4,743.60 / $19,913.50	Facility		$1,400.00	$4,743.60	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $230.35 / $1,887.52 / $1,887.52	Facility	AS	$230.35	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.86 / $1,299.01 / $1,771.02	Facility		$1,040.86	$1,299.01	$1,771.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $114.57 / $114.57 / $332.76	Facility	AS	$114.57	$114.57	$332.76
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,407.00 / $28,973.00	Facility		$6,366.00	$13,407.00	$28,973.00