Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,057.38 / $17,133.00	Facility		$2,020.00	$6,057.38	$17,133.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $443.78 / $694.35 / $937.37	Professional		$443.78	$694.35	$937.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.08 / $779.51 / $1,395.97	Professional		$571.08	$779.51	$1,395.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,791.40 / $5,246.20 / $16,394.00	Facility		$2,791.40	$5,246.20	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $135.41 / $497.27 / $497.27	Facility	AS	$135.41	$497.27	$497.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.49 / $761.44 / $1,131.50	Facility		$604.49	$761.44	$1,131.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.33 / $67.33 / $193.19	Facility	AS	$67.33	$67.33	$193.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00