Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,390.00 / $17,809.00	Facility		$1,335.00	$5,390.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.92 / $8,305.00 / $20,786.00	Facility		$446.92	$8,305.00	$20,786.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,487.90	Facility		$65.80	$100.00	$5,487.90
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 $207.00 / $313.25 / $470.89	Professional		$207.00	$313.25	$470.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $446.46 / $802.54	Professional		$323.87	$446.46	$802.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,631.08 / $5,756.38	Facility		$55.00	$5,631.08	$5,756.38
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $437.38 / $1,025.63 / $1,068.33	Facility	62	$437.38	$1,025.63	$1,068.33
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $69.98 / $164.10 / $170.93	Facility	AS	$69.98	$164.10	$170.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.76 / $452.05 / $651.39	Facility		$353.76	$452.05	$651.39
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $250.96 / $250.96 / $531.49	Facility	62	$250.96	$250.96	$531.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $40.15 / $40.15 / $115.65	Facility	AS	$40.15	$40.15	$115.65
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $6,920.00	Facility		$587.00	$1,572.00	$6,920.00