Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,357.00 / $17,538.00	Facility		$1,919.00	$6,357.00	$17,538.00
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 $631.79 / $914.55 / $1,234.64	Professional		$631.79	$914.55	$1,234.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.01 / $1,033.78 / $1,911.18	Professional		$759.01	$1,033.78	$1,911.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,509.66 / $5,499.96 / $16,394.00	Facility		$4,509.66	$5,499.96	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $180.12 / $497.27 / $497.27	Facility	AS	$180.12	$497.27	$497.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $813.86 / $1,009.80 / $1,365.00	Facility		$813.86	$1,009.80	$1,365.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $90.56 / $90.56 / $256.31	Facility	AS	$90.56	$90.56	$256.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00