Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,390.00 / $17,328.00	Facility		$1,256.22	$5,390.00	$17,328.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $8,905.00 / $16,846.00	Facility		$3,294.00	$8,905.00	$16,846.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $16,022.33	Facility		$64.40	$100.00	$16,022.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $303.05 / $348.51 / $454.58	Professional		$303.05	$348.51	$454.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.18 / $396.84 / $763.26	Professional		$287.18	$396.84	$763.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,219.46 / $5,000.00 / $5,117.28	Facility		$4,219.46	$5,000.00	$5,117.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $62.50 / $146.69 / $151.57	Facility	AS	$62.50	$146.69	$151.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.24 / $401.52 / $596.28	Facility		$331.24	$401.52	$596.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $35.86 / $35.86 / $103.42	Facility	AS	$35.86	$35.86	$103.42
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,810.00 / $14,315.00	Facility		$587.00	$1,810.00	$14,315.00