Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $7,175.00 / $19,860.00	Facility		$1,680.00	$7,175.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,063.87	Facility		$66.00	$100.00	$10,063.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $273.27 / $314.26 / $516.91	Professional		$273.27	$314.26	$516.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.12 / $348.76 / $620.78	Professional		$256.12	$348.76	$620.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,772.19 / $19,913.50 / $26,542.00	Facility		$1,772.19	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $78.72 / $1,887.52 / $1,887.52	Facility	AS	$78.72	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.79 / $380.26 / $811.46	Facility		$301.79	$380.26	$811.46
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $104.97 / $104.97 / $104.97	Facility	80	$104.97	$104.97	$104.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $30.65 / $30.65 / $89.22	Facility	AS	$30.65	$30.65	$89.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00