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 $415.01 / $4,464.00 / $11,216.00	Facility		$415.01	$4,464.00	$11,216.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
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 $234.92 / $290.66 / $392.39	Professional		$234.92	$290.66	$392.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.57 / $347.66 / $633.64	Professional		$251.57	$347.66	$633.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $668.96 / $2,000.00 / $2,000.00	Facility		$668.96	$2,000.00	$2,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $54.76 / $128.52 / $132.77	Facility	AS	$54.76	$128.52	$132.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.25 / $350.83 / $534.25	Facility		$286.25	$350.83	$534.25
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $106.38 / $106.38 / $106.38	Facility	80	$106.38	$106.38	$106.38
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $31.39 / $31.39 / $90.42	Facility	AS	$31.39	$31.39	$90.42
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00