Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,710.00 / $20,509.00	Facility		$2,197.85	$7,710.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $12,268.00 / $34,930.00	Facility		$4,314.00	$12,268.00	$34,930.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $668.65 / $931.46 / $1,257.47	Professional		$668.65	$931.46	$1,257.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $777.48 / $1,056.21 / $1,917.76	Professional		$777.48	$1,056.21	$1,917.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,173.44 / $13,448.26	Facility		$55.00	$13,173.44	$13,448.26
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $161.82 / $381.64 / $410.34	Facility	AS	$161.82	$381.64	$410.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.87 / $1,062.58 / $1,609.74	Facility		$863.87	$1,062.58	$1,609.74
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $313.88 / $313.88 / $313.88	Facility	80	$313.88	$313.88	$313.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $93.28 / $93.28 / $266.80	Facility	AS	$93.28	$93.28	$266.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00