Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $21,960.90	Facility		$873.00	$9,674.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,193.00 / $10,144.00	Facility		$2,160.00	$5,193.00	$10,144.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
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 $134.40 / $203.39 / $379.74	Professional		$134.40	$203.39	$379.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $361.14 / $698.72	Professional		$261.95	$361.14	$698.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,826.76 / $4,561.06 / $5,000.00	Facility		$3,826.76	$4,561.06	$5,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $56.79 / $133.22 / $138.26	Facility	AS	$56.79	$133.22	$138.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.58 / $357.37 / $488.06	Facility		$281.58	$357.37	$488.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $32.72 / $32.72 / $94.57	Facility	AS	$32.72	$32.72	$94.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00