Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,690.00 / $21,960.90	Facility		$2,645.00	$9,690.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,557.00 / $19,252.00	Facility		$3,403.00	$9,557.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,559.83	Facility		$66.00	$100.00	$20,559.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.95 / $3,801.95 / $4,493.21	Facility		$3,801.95	$3,801.95	$4,493.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $646.30 / $942.23 / $4,219.54	Professional		$646.30	$942.23	$4,219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $848.01 / $1,084.72 / $2,001.67	Professional		$848.01	$1,084.72	$2,001.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,999.21 / $17,070.15 / $26,542.00	Facility		$5,999.21	$17,070.15	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $206.34 / $1,618.01 / $1,618.01	Facility	AS	$206.34	$1,618.01	$1,618.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $917.28 / $1,246.49 / $1,841.10	Facility		$917.28	$1,246.49	$1,841.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,571.00	Facility		$7,696.00	$13,722.00	$29,571.00