Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,322.00 / $17,013.00	Facility		$1,256.22	$5,322.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.13 / $4,464.00 / $12,647.00	Facility		$448.13	$4,464.00	$12,647.00
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 $304.54 / $377.42 / $509.52	Professional		$304.54	$377.42	$509.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.83 / $446.39 / $803.14	Professional		$323.83	$446.39	$803.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,288.88 / $1,709.10	Facility		$55.00	$1,288.88	$1,709.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $69.81 / $163.65 / $170.91	Facility	AS	$69.81	$163.65	$170.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.17 / $456.60 / $708.46	Facility		$372.17	$456.60	$708.46
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $136.44 / $136.44 / $136.44	Facility	80	$136.44	$136.44	$136.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $39.89 / $39.89 / $115.98	Facility	AS	$39.89	$39.89	$115.98
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