Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.65 / $5,165.00 / $17,328.00	Facility		$943.65	$5,165.00	$17,328.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,028.10	Facility		$66.00	$100.00	$8,028.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $10,132.37 / $18,147.55	Facility		$7,500.00	$10,132.37	$18,147.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.05 / $698.43 / $1,487.36	Professional		$505.05	$698.43	$1,487.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.62 / $905.06 / $1,669.53	Professional		$455.62	$905.06	$1,669.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,084.84 / $3,168.78	Facility		$55.00	$3,084.84	$3,168.78
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $205.58 / $222.36 / $222.36	Facility	AS	$205.58	$222.36	$222.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $529.20 / $884.44 / $1,440.64	Facility		$529.20	$884.44	$1,440.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $76.80 / $76.80 / $295.63	Facility	AS	$76.80	$76.80	$295.63
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00