Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.00 / $5,206.00 / $17,054.00	Facility		$1,023.00	$5,206.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $8,541.00 / $16,838.00	Facility		$3,294.00	$8,541.00	$16,838.00
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 $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 $357.78 / $541.42 / $940.14	Professional		$357.78	$541.42	$940.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $643.79 / $876.45 / $1,619.00	Professional		$643.79	$876.45	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $9,480.79 / $11,575.34	Facility		$5,000.00	$9,480.79	$11,575.34
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $879.26 / $2,062.56 / $2,139.91	Facility	62	$879.26	$2,062.56	$2,139.91
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $140.68 / $330.01 / $342.39	Facility	AS	$140.68	$330.01	$342.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $752.11 / $914.75 / $1,467.30	Facility		$752.11	$914.75	$1,467.30
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $506.10 / $506.10 / $1,077.03	Facility	62	$506.10	$506.10	$1,077.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $275.72 / $275.72 / $275.72	Facility	80	$275.72	$275.72	$275.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.98 / $80.98 / $234.36	Facility	AS	$80.98	$80.98	$234.36
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,571.00	Facility		$7,696.00	$13,722.00	$29,571.00