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 / $17,701.00	Facility		$1,256.22	$5,390.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $10,077.00 / $20,418.00	Facility		$3,028.00	$10,077.00	$20,418.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,180.88	Facility		$66.00	$100.00	$8,180.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $17,933.99 / $32,120.58	Facility		$7,500.00	$17,933.99	$32,120.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $605.36 / $997.79 / $12,803.60	Professional		$605.36	$997.79	$12,803.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $816.27 / $1,133.71 / $2,054.48	Professional		$816.27	$1,133.71	$2,054.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,000.00 / $72,083.85	Facility		$55.00	$20,000.00	$72,083.85
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.83 / $4,909.63 / $4,909.63	Facility	AS	$194.83	$4,909.63	$4,909.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $893.63 / $1,114.28 / $1,529.15	Facility		$893.63	$1,114.28	$1,529.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $100.85 / $100.85 / $286.67	Facility	AS	$100.85	$100.85	$286.67
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,840.00 / $29,571.00	Facility		$7,212.00	$13,840.00	$29,571.00