Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $18,252.00	Facility		$1,820.00	$6,880.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,043.00 / $18,150.00	Facility		$3,294.00	$9,043.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,551.81	Facility		$66.00	$100.00	$8,551.81
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 $543.92 / $738.95 / $4,219.54	Professional		$543.92	$738.95	$4,219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.06 / $843.07 / $1,560.55	Professional		$665.06	$843.07	$1,560.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,646.60 / $17,070.15 / $26,542.00	Facility		$4,646.60	$17,070.15	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.93 / $1,618.01 / $1,618.01	Facility	AS	$158.93	$1,618.01	$1,618.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.03 / $1,047.97 / $1,593.41	Facility		$728.03	$1,047.97	$1,593.41
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