Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,382.00 / $17,380.00	Facility		$1,256.22	$5,382.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.33 / $6,187.00 / $15,178.00	Facility		$492.33	$6,187.00	$15,178.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,961.00 / $2,961.00 / $2,961.00	Facility		$2,961.00	$2,961.00	$2,961.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $472.45 / $714.96 / $978.31	Professional		$472.45	$714.96	$978.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.52 / $912.26 / $1,670.97	Professional		$670.52	$912.26	$1,670.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $9,878.82 / $12,045.46	Facility		$5,000.00	$9,878.82	$12,045.46
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $146.54 / $343.79 / $356.45	Facility	AS	$146.54	$343.79	$356.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $782.65 / $947.35 / $1,466.99	Facility		$782.65	$947.35	$1,466.99
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $286.64 / $286.64 / $286.64	Facility	80	$286.64	$286.64	$286.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $243.64	Facility	AS	$84.30	$84.30	$243.64
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00