Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,218.00 / $17,054.00	Facility		$1,919.00	$6,218.00	$17,054.00
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 $504.84 / $884.34 / $1,193.85	Professional		$504.84	$884.34	$1,193.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.29 / $996.69 / $1,841.54	Professional		$720.29	$996.69	$1,841.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,489.99 / $7,921.98 / $16,394.00	Facility		$6,489.99	$7,921.98	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $173.13 / $497.27 / $497.27	Facility	AS	$173.13	$497.27	$497.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.91 / $948.31 / $1,295.74	Facility		$736.91	$948.31	$1,295.74
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.57 / $86.57 / $245.28	Facility	AS	$86.57	$86.57	$245.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00