Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,382.00 / $17,538.00	Facility		$1,174.00	$5,382.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $97.40 / $5,455.40	Facility		$64.20	$97.40	$5,455.40
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 $266.19 / $329.87 / $445.32	Professional		$266.19	$329.87	$445.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.57 / $394.73 / $719.07	Professional		$285.57	$394.73	$719.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,198.32 / $4,981.89 / $5,110.56	Facility		$4,198.32	$4,981.89	$5,110.56
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $62.18 / $145.93 / $150.72	Facility	AS	$62.18	$145.93	$150.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.87 / $400.21 / $613.69	Facility		$329.87	$400.21	$613.69
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $121.54 / $121.54 / $121.54	Facility	80	$121.54	$121.54	$121.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $35.86 / $35.86 / $103.31	Facility	AS	$35.86	$35.86	$103.31
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00