Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.13 / $5,577.00 / $13,326.00	Facility		$448.13	$5,577.00	$13,326.00
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 $306.77 / $379.67 / $512.54	Professional		$306.77	$379.67	$512.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.08 / $449.45 / $803.78	Professional		$326.08	$449.45	$803.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,295.44 / $1,720.97	Facility		$55.00	$1,295.44	$1,720.97
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $439.83 / $1,031.29 / $1,075.60	Facility	62	$439.83	$1,031.29	$1,075.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $70.37 / $165.01 / $172.10	Facility	AS	$70.37	$165.01	$172.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.32 / $458.60 / $708.26	Facility		$375.32	$458.60	$708.26
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $251.89 / $251.89 / $537.01	Facility	62	$251.89	$251.89	$537.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $137.47 / $137.47 / $137.47	Facility	80	$137.47	$137.47	$137.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $40.29 / $40.29 / $116.85	Facility	AS	$40.29	$40.29	$116.85
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