Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,865.00 / $5,505.00 / $16,713.00	Facility		$1,865.00	$5,505.00	$16,713.00
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 $405.43 / $650.82 / $878.61	Professional		$405.43	$650.82	$878.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.15 / $730.29 / $1,308.14	Professional		$535.15	$730.29	$1,308.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,133.08 / $5,246.20 / $16,394.00	Facility		$3,133.08	$5,246.20	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $127.48 / $497.27 / $497.27	Facility	AS	$127.48	$497.27	$497.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.65 / $712.97 / $959.65	Facility		$556.65	$712.97	$959.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $63.12 / $63.12 / $182.05	Facility	AS	$63.12	$63.12	$182.05
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