Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $5,310.00 / $17,328.00	Facility		$1,169.00	$5,310.00	$17,328.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,007.00 / $13,707.00	Facility		$2,629.00	$7,007.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $15,886.21	Facility		$65.80	$100.00	$15,886.21
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 $327.62 / $405.72 / $547.72	Professional		$327.62	$405.72	$547.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.95 / $482.35 / $865.97	Professional		$349.95	$482.35	$865.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $5,114.62 / $6,236.72	Facility		$5,000.00	$5,114.62	$6,236.72
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $474.29 / $1,112.64 / $1,154.33	Facility	62	$474.29	$1,112.64	$1,154.33
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $75.89 / $178.02 / $184.69	Facility	AS	$75.89	$178.02	$184.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.78 / $490.93 / $727.30	Facility		$404.78	$490.93	$727.30
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $272.63 / $272.63 / $578.66	Facility	62	$272.63	$272.63	$578.66
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $148.13 / $148.13 / $148.13	Facility	80	$148.13	$148.13	$148.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $43.62 / $43.62 / $125.92	Facility	AS	$43.62	$43.62	$125.92
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