Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.00 / $6,342.00 / $17,030.00	Facility		$1,406.00	$6,342.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,191.00 / $13,697.00	Facility		$2,456.00	$6,191.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,378.59	Facility		$66.00	$100.00	$10,378.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,766.37 / $6,814.80 / $16,055.09	Facility		$5,766.37	$6,814.80	$16,055.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $675.72 / $1,042.97 / $1,408.01	Professional		$675.72	$1,042.97	$1,408.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.98 / $1,185.57 / $2,089.71	Professional		$911.98	$1,185.57	$2,089.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,324.20 / $25,890.15	Facility		$55.00	$3,324.20	$25,890.15
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $203.06 / $2,454.02 / $2,454.02	Facility	AS	$203.06	$2,454.02	$2,454.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.61 / $1,139.83 / $1,668.75	Facility		$887.61	$1,139.83	$1,668.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $287.33 / $287.33 / $287.33	Facility	AS	$287.33	$287.33	$287.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,451.00	Facility		$5,799.00	$12,377.00	$26,451.00