Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.41 / $9,639.00 / $22,330.11	Facility		$807.41	$9,639.00	$22,330.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $8,541.00 / $16,838.00	Facility		$3,294.00	$8,541.00	$16,838.00
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 $5,800.00 / $5,800.00 / $5,800.00	Facility		$5,800.00	$5,800.00	$5,800.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $336.64 / $454.46	Professional		$282.95	$336.64	$454.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.95 / $400.10 / $714.91	Professional		$289.95	$400.10	$714.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,221.42 / $5,000.00 / $5,180.28	Facility		$4,221.42	$5,000.00	$5,180.28
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $392.54 / $919.65 / $956.47	Facility	62	$392.54	$919.65	$956.47
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $62.81 / $147.13 / $153.04	Facility	AS	$62.81	$147.13	$153.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.61 / $415.30 / $651.00	Facility		$336.61	$415.30	$651.00
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $225.79 / $225.79 / $481.80	Facility	62	$225.79	$225.79	$481.80
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $123.34 / $123.34 / $123.34	Facility	80	$123.34	$123.34	$123.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $36.13 / $36.13 / $104.84	Facility	AS	$36.13	$36.13	$104.84
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00