Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,314.00 / $17,701.00	Facility		$1,919.00	$6,314.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,866.00	Facility		$1,546.00	$4,617.00	$9,866.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $10,117.12	Facility		$66.09	$100.00	$10,117.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,597.32 / $8,701.29 / $15,584.39	Facility		$5,597.32	$8,701.29	$15,584.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $574.83 / $892.77 / $6,212.10	Professional		$574.83	$892.77	$6,212.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $767.15 / $1,013.38 / $1,766.55	Professional		$767.15	$1,013.38	$1,766.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,935.29 / $25,131.10	Facility		$55.00	$21,935.29	$25,131.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $174.32 / $2,382.07 / $2,382.07	Facility	AS	$174.32	$2,382.07	$2,382.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $781.46 / $988.25 / $1,428.43	Facility		$781.46	$988.25	$1,428.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $85.67 / $249.21 / $249.21	Facility	AS	$85.67	$249.21	$249.21
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,672.00	Facility		$5,416.00	$12,313.00	$26,672.00