Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,570.00 / $18,293.00	Facility		$1,017.00	$5,570.00	$18,293.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,418.00 / $9,274.00	Facility		$1,546.00	$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 $57.33 / $73.26 / $91.58	Professional		$57.33	$73.26	$91.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $86.65 / $178.14	Professional		$62.87	$86.65	$178.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $249.63 / $331.84	Facility		$55.00	$249.63	$331.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $13.56 / $31.79 / $33.18	Facility	AS	$13.56	$31.79	$33.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $84.35 / $115.27	Facility		$67.89	$84.35	$115.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $26.34 / $26.34 / $26.34	Facility	80	$26.34	$26.34	$26.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $7.76 / $7.76 / $22.39	Facility	AS	$7.76	$7.76	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00