Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,639.00 / $21,073.50	Facility		$2,843.00	$9,639.00	$21,073.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $6,993.00 / $49,214.59	Facility		$2,424.00	$6,993.00	$49,214.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,431.40	Facility		$64.40	$100.00	$7,431.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,390.00 / $3,390.00 / $3,390.00	Facility		$3,390.00	$3,390.00	$3,390.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $718.54 / $1,087.36 / $1,800.15	Professional		$718.54	$1,087.36	$1,800.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,188.15 / $1,645.89 / $2,993.13	Professional		$1,188.15	$1,645.89	$2,993.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $17,226.72 / $21,205.52	Facility		$5,000.00	$17,226.72	$21,205.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $255.85 / $602.19 / $640.64	Facility	AS	$255.85	$602.19	$640.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.71 / $1,636.23 / $2,320.98	Facility		$1,348.71	$1,636.23	$2,320.98
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $498.37 / $498.37 / $498.37	Facility	80	$498.37	$498.37	$498.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $147.38 / $147.38 / $423.62	Facility	AS	$147.38	$147.38	$423.62
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $43,423.00	Facility		$8,830.00	$18,191.00	$43,423.00