Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,532.00 / $17,519.16	Facility		$1,335.00	$5,532.00	$17,519.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,182.43	Facility		$66.00	$100.00	$7,182.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,818.37 / $3,825.13 / $6,838.87	Facility		$3,818.37	$3,825.13	$6,838.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $581.53 / $959.97 / $2,726.05	Professional		$581.53	$959.97	$2,726.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.84 / $1,089.21 / $1,962.77	Professional		$789.84	$1,089.21	$1,962.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,276.41 / $11,028.25	Facility		$55.00	$7,276.41	$11,028.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.25 / $1,045.32 / $1,045.32	Facility	AS	$187.25	$1,045.32	$1,045.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $859.24 / $1,070.59 / $1,470.48	Facility		$859.24	$1,070.59	$1,470.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $96.90 / $96.90 / $275.52	Facility	AS	$96.90	$96.90	$275.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,953.00 / $20,988.00	Facility		$4,509.00	$9,953.00	$20,988.00