Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.11 / $5,322.00 / $17,380.00	Facility		$931.11	$5,322.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,418.00 / $9,274.00	Facility		$1,723.00	$4,418.00	$9,274.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $175.34 / $236.71	Professional		$129.56	$175.34	$236.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $206.44 / $426.16	Professional		$150.41	$206.44	$426.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $403.49 / $1,300.00 / $2,000.00	Facility		$403.49	$1,300.00	$2,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $32.42 / $75.98 / $79.38	Facility	AS	$32.42	$75.98	$79.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.44 / $211.82 / $326.72	Facility		$172.44	$211.82	$326.72
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $63.21 / $63.21 / $63.21	Facility	80	$63.21	$63.21	$63.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $18.57 / $18.57 / $53.73	Facility	AS	$18.57	$18.57	$53.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $21,278.00	Facility		$4,728.00	$9,758.00	$21,278.00