Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.55 / $9,639.00 / $20,509.00	Facility		$882.55	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,580.10 / $18,150.00	Facility		$3,765.00	$8,580.10	$18,150.00
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 $1,059.52 / $1,165.47 / $1,675.35	Professional		$1,059.52	$1,165.47	$1,675.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $868.85 / $1,206.74 / $2,185.05	Professional		$868.85	$1,206.74	$2,185.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,707.21 / $9,841.59	Facility		$55.00	$9,707.21	$9,841.59
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $186.14 / $439.31 / $469.15	Facility	AS	$186.14	$439.31	$469.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $953.83 / $1,189.19 / $1,837.34	Facility		$953.83	$1,189.19	$1,837.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $106.59 / $106.59 / $304.58	Facility	AS	$106.59	$106.59	$304.58
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