Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.17 / $6,628.00 / $17,538.00	Facility		$1,435.17	$6,628.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
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 $398.73 / $601.75 / $812.36	Professional		$398.73	$601.75	$812.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.01 / $673.01 / $1,186.84	Professional		$492.01	$673.01	$1,186.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,856.06 / $5,246.20 / $26,542.00	Facility		$2,856.06	$5,246.20	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $117.26 / $497.27 / $497.27	Facility	AS	$117.26	$497.27	$497.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.78 / $670.33 / $1,092.00	Facility		$532.78	$670.33	$1,092.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $57.75 / $57.75 / $165.89	Facility	AS	$57.75	$57.75	$165.89
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