Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,880.00 / $17,809.00	Facility		$2,387.00	$6,880.00	$17,809.00
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 / $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 $668.65 / $819.18 / $4,219.54	Professional		$668.65	$819.18	$4,219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.24 / $845.83 / $1,568.12	Professional		$670.24	$845.83	$1,568.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,653.53 / $17,070.15 / $26,542.00	Facility		$4,653.53	$17,070.15	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.78 / $1,618.01 / $1,618.01	Facility	AS	$158.78	$1,618.01	$1,618.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $734.06 / $1,049.71 / $1,401.01	Facility		$734.06	$1,049.71	$1,401.01
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