Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,731.00 / $21,000.00	Facility		$2,843.00	$9,731.00	$21,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,824.00 / $28,647.00	Facility		$3,585.00	$11,824.00	$28,647.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $13,613.98	Facility		$65.80	$100.00	$13,613.98
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 $1,514.89 / $1,976.28 / $2,470.35	Professional		$1,514.89	$1,976.28	$2,470.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,641.29 / $2,279.58 / $4,132.78	Professional		$1,641.29	$2,279.58	$4,132.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,425.16 / $18,824.49	Facility		$55.00	$18,425.16	$18,824.49
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,213.67 / $5,209.43 / $5,516.33	Facility	62	$2,213.67	$5,209.43	$5,516.33
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $354.19 / $833.51 / $882.61	Facility	AS	$354.19	$833.51	$882.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,812.08 / $2,247.71 / $3,056.57	Facility		$1,812.08	$2,247.71	$3,056.57
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,274.33 / $1,274.33 / $2,754.79	Facility	62	$1,274.33	$1,274.33	$2,754.79
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $705.23 / $705.23 / $705.23	Facility	80	$705.23	$705.23	$705.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $203.90 / $203.90 / $599.44	Facility	AS	$203.90	$203.90	$599.44
United Facility/Professional Facility Modifier Low / Median / High Price $10,623.00 / $20,553.00 / $49,525.00	Facility		$10,623.00	$20,553.00	$49,525.00