Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $20,135.00	Facility		$2,616.00	$9,006.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,260.00 / $17,774.00	Facility		$3,204.00	$9,260.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,378.59	Facility		$66.00	$100.00	$10,378.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,684.00 / $13,360.00 / $14,932.00	Facility		$11,684.00	$13,360.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $688.10 / $1,027.18 / $1,232.61	Professional		$688.10	$1,027.18	$1,232.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.46 / $1,182.28 / $2,103.51	Professional		$924.46	$1,182.28	$2,103.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,997.53 / $22,189.40	Facility		$55.00	$5,997.53	$22,189.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $209.28 / $2,105.03 / $2,105.03	Facility	AS	$209.28	$2,105.03	$2,105.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $928.02 / $1,179.41 / $1,646.78	Facility		$928.02	$1,179.41	$1,646.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $301.63 / $301.63 / $301.63	Facility	AS	$301.63	$301.63	$301.63
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00