Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,639.00 / $21,479.00	Facility		$2,421.00	$9,639.00	$21,479.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,248.00 / $34,433.58	Facility		$3,222.00	$9,248.00	$34,433.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,125.38	Facility		$64.40	$100.00	$7,125.38
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 $725.61 / $1,098.07 / $2,067.79	Professional		$725.61	$1,098.07	$2,067.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.92 / $1,886.00 / $3,338.52	Professional		$1,357.92	$1,886.00	$3,338.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $12,639.87 / $15,469.20	Facility		$2,000.00	$12,639.87	$15,469.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $291.05 / $686.82 / $732.95	Facility	AS	$291.05	$686.82	$732.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,492.30 / $1,851.67 / $2,444.16	Facility		$1,492.30	$1,851.67	$2,444.16
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $560.69 / $560.69 / $560.69	Facility	80	$560.69	$560.69	$560.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $167.58 / $167.58 / $476.58	Facility	AS	$167.58	$167.58	$476.58
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,312.00	Facility		$7,696.00	$13,722.00	$29,312.00