Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,260.00 / $24,401.00	Facility		$3,089.46	$9,260.00	$24,401.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,990.00 / $14,879.00 / $35,464.00	Facility		$4,990.00	$14,879.00	$35,464.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,778.45	Facility		$66.70	$100.00	$8,778.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $17,810.18 / $31,898.85	Facility		$8,500.00	$17,810.18	$31,898.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.93 / $1,849.15 / $12,715.22	Professional		$1,422.93	$1,849.15	$12,715.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,540.91 / $2,135.54 / $3,859.72	Professional		$1,540.91	$2,135.54	$3,859.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $39,500.00 / $51,439.50	Facility		$10,000.00	$39,500.00	$51,439.50
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,306.98 / $30,473.31 / $30,473.31	Facility	62	$2,306.98	$30,473.31	$30,473.31
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $369.12 / $4,875.72 / $4,875.72	Facility	AS	$369.12	$4,875.72	$4,875.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,684.35 / $2,105.44 / $2,874.05	Facility		$1,684.35	$2,105.44	$2,874.05
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,200.02 / $1,200.02 / $2,534.46	Facility	62	$1,200.02	$1,200.02	$2,534.46
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $648.82 / $648.82 / $648.82	Facility	80	$648.82	$648.82	$648.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $192.00 / $192.00 / $551.50	Facility	AS	$192.00	$192.00	$551.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,797.00 / $29,312.00	Facility		$7,696.00	$13,797.00	$29,312.00