Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,031.00 / $22,085.00	Facility		$3,222.00	$9,031.00	$22,085.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,114.52	Facility		$64.40	$100.00	$8,114.52
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 $970.96 / $1,469.35 / $2,129.85	Professional		$970.96	$1,469.35	$2,129.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,387.51 / $1,934.74 / $3,447.00	Professional		$1,387.51	$1,934.74	$3,447.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,540.57 / $15,865.83	Facility		$55.00	$15,540.57	$15,865.83
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,856.85 / $4,376.83 / $4,698.67	Facility	62	$1,856.85	$4,376.83	$4,698.67
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $297.10 / $700.29 / $751.79	Facility	AS	$297.10	$700.29	$751.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,572.51 / $1,918.05 / $2,804.60	Facility		$1,572.51	$1,918.05	$2,804.60
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,069.99 / $1,069.99 / $2,250.41	Facility	62	$1,069.99	$1,069.99	$2,250.41
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $576.10 / $576.10 / $576.10	Facility	80	$576.10	$576.10	$576.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $171.20 / $171.20 / $489.69	Facility	AS	$171.20	$171.20	$489.69
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00