Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,131.00 / $8,740.00 / $18,293.00	Facility		$3,131.00	$8,740.00	$18,293.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,030.00 / $17,774.00	Facility		$3,204.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
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 $521.22 / $972.77 / $1,313.24	Professional		$521.22	$972.77	$1,313.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $875.49 / $1,138.00 / $2,025.59	Professional		$875.49	$1,138.00	$2,025.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,962.60 / $16,223.75 / $26,542.00	Facility		$4,962.60	$16,223.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $195.51 / $1,537.78 / $1,537.78	Facility	AS	$195.51	$1,537.78	$1,537.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $865.67 / $1,119.39 / $1,654.11	Facility		$865.67	$1,119.39	$1,654.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $287.00 / $287.00 / $287.00	Facility	AS	$287.00	$287.00	$287.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,341.00 / $13,555.00 / $29,312.00	Facility		$6,341.00	$13,555.00	$29,312.00