Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.57 / $9,260.00 / $21,960.90	Facility		$1,461.57	$9,260.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $20,040.00 / $51,698.00	Facility		$5,863.00	$20,040.00	$51,698.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $8,337.77	Facility		$65.80	$100.00	$8,337.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $8,500.00 / $8,500.00	Facility		$8,500.00	$8,500.00	$8,500.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.59 / $1,670.33 / $2,254.94	Professional		$1,209.59	$1,670.33	$2,254.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,381.44 / $1,918.66 / $3,448.52	Professional		$1,381.44	$1,918.66	$3,448.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,000.00 / $12,882.24 / $15,905.79	Facility		$11,000.00	$12,882.24	$15,905.79
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,864.01 / $4,380.60 / $4,653.54	Facility	62	$1,864.01	$4,380.60	$4,653.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $298.24 / $700.90 / $744.57	Facility	AS	$298.24	$700.90	$744.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,567.51 / $1,954.66 / $2,834.32	Facility		$1,567.51	$1,954.66	$2,834.32
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $2,275.50	Facility	62	$1,073.02	$1,073.02	$2,275.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $582.53 / $582.53 / $582.53	Facility	80	$582.53	$582.53	$582.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $495.15	Facility	AS	$171.68	$171.68	$495.15
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,330.00 / $43,423.00	Facility		$8,830.00	$18,330.00	$43,423.00