Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,211.00 / $17,538.00	Facility		$1,539.00	$6,211.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,482.83	Facility		$66.00	$100.00	$7,482.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,067.55 / $10,867.25	Facility		$1,992.00	$6,067.55	$10,867.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $526.05 / $1,125.10 / $1,518.90	Professional		$526.05	$1,125.10	$1,518.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $907.24 / $1,274.80 / $2,355.44	Professional		$907.24	$1,274.80	$2,355.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,630.85 / $16,394.00 / $17,524.30	Facility		$4,630.85	$16,394.00	$17,524.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $223.88 / $1,661.06 / $1,661.06	Facility	AS	$223.88	$1,661.06	$1,661.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $917.86 / $1,234.86 / $1,710.32	Facility		$917.86	$1,234.86	$1,710.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $112.26 / $112.26 / $325.22	Facility	AS	$112.26	$112.26	$325.22
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.00 / $11,377.00 / $24,268.00	Facility		$6,456.00	$11,377.00	$24,268.00