Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.40 / $9,639.00 / $20,509.00	Facility		$543.40	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,557.00 / $19,252.00	Facility		$3,028.00	$9,557.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,249.86	Facility		$66.00	$100.00	$8,249.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,456.26 / $2,902.86 / $6,838.87	Facility		$2,456.26	$2,902.86	$6,838.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.43 / $669.80 / $904.23	Professional		$389.43	$669.80	$904.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.04 / $757.86 / $1,373.22	Professional		$597.04	$757.86	$1,373.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,753.60 / $11,028.25	Facility		$55.00	$6,753.60	$11,028.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $129.12 / $1,045.32 / $1,045.32	Facility	AS	$129.12	$1,045.32	$1,045.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $745.34 / $1,071.68	Facility		$575.50	$745.34	$1,071.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $191.11 / $191.11 / $191.11	Facility	AS	$191.11	$191.11	$191.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00