Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,000.00 / $18,293.00	Facility		$2,387.00	$7,000.00	$18,293.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,334.00 / $16,106.00	Facility		$2,675.00	$7,334.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
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 $407.30 / $702.90 / $4,219.54	Professional		$407.30	$702.90	$4,219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.61 / $798.49 / $1,480.31	Professional		$632.61	$798.49	$1,480.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,393.13 / $17,070.15 / $26,542.00	Facility		$4,393.13	$17,070.15	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.07 / $1,618.01 / $1,618.01	Facility	AS	$150.07	$1,618.01	$1,618.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $665.41 / $874.73 / $1,294.22	Facility		$665.41	$874.73	$1,294.22
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $32,191.00	Facility		$7,696.00	$13,784.00	$32,191.00