Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,934.00 / $20,509.00	Facility		$2,616.00	$8,934.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,362.00 / $16,106.00	Facility		$2,675.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,674.20	Facility		$66.00	$100.00	$15,674.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $6,906.96 / $12,348.83	Facility		$4,340.00	$6,906.96	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,329.93 / $1,831.05	Professional		$967.98	$1,329.93	$1,831.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,102.84 / $1,529.42 / $2,761.29	Professional		$1,102.84	$1,529.42	$2,761.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $10,314.18 / $19,913.50	Facility		$5,897.00	$10,314.18	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $262.16 / $1,887.52 / $1,887.52	Facility	AS	$262.16	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,225.80 / $1,508.55 / $2,242.46	Facility		$1,225.80	$1,508.55	$2,242.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $136.44 / $136.44 / $388.89	Facility	AS	$136.44	$136.44	$388.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,840.00 / $32,820.00	Facility		$6,366.00	$13,840.00	$32,820.00