Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,530.35 / $10,004.00 / $19,509.00	Facility		$3,530.35	$10,004.00	$19,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $16,222.00	Facility		$66.70	$100.00	$16,222.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $596.89 / $853.41 / $1,152.09	Professional		$596.89	$853.41	$1,152.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.47 / $975.61 / $1,717.67	Professional		$750.47	$975.61	$1,717.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,794.22 / $9,496.40	Facility		$55.00	$4,794.22	$9,496.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $168.98 / $900.13 / $900.13	Facility	AS	$168.98	$900.13	$900.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $762.29 / $961.88 / $1,441.31	Facility		$762.29	$961.88	$1,441.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $241.79 / $241.79 / $241.79	Facility	AS	$241.79	$241.79	$241.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $22,073.00	Facility		$4,728.00	$9,758.00	$22,073.00