Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,322.00 / $17,030.00	Facility		$1,208.95	$5,322.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,860.00 / $11,400.00 / $21,510.00	Facility		$2,860.00	$11,400.00	$21,510.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.53	Facility		$63.90	$100.00	$5,487.53
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 $402.46 / $502.42 / $628.03	Professional		$402.46	$502.42	$628.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.31 / $597.36 / $1,072.31	Professional		$433.31	$597.36	$1,072.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,544.88 / $7,723.24	Facility		$55.00	$7,544.88	$7,723.24
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $587.21 / $1,377.59 / $1,429.34	Facility	62	$587.21	$1,377.59	$1,429.34
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $93.95 / $220.41 / $228.69	Facility	AS	$93.95	$220.41	$228.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $472.67 / $581.38 / $794.41	Facility		$472.67	$581.38	$794.41
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $337.64 / $337.64 / $734.74	Facility	62	$337.64	$337.64	$734.74
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $188.09 / $188.09 / $188.09	Facility	80	$188.09	$188.09	$188.09
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $54.02 / $54.02 / $159.88	Facility	AS	$54.02	$54.02	$159.88
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $6,920.00	Facility		$587.00	$1,572.00	$6,920.00