Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,264.00 / $17,380.00	Facility		$2,020.00	$6,264.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,697.00	Facility		$2,143.00	$6,048.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,721.71	Facility		$66.00	$100.00	$7,721.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $4,270.41 / $10,060.73	Facility		$3,613.43	$4,270.41	$10,060.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $780.99 / $1,054.33	Professional		$337.30	$780.99	$1,054.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.89 / $898.78 / $1,601.58	Professional		$702.89	$898.78	$1,601.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,948.84 / $16,223.75 / $16,394.00	Facility		$3,948.84	$16,223.75	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.00 / $1,537.78 / $1,537.78	Facility	AS	$156.00	$1,537.78	$1,537.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $688.29 / $873.59 / $1,249.58	Facility		$688.29	$873.59	$1,249.58
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $228.35 / $228.35 / $228.35	Facility	AS	$228.35	$228.35	$228.35
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00