Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $5,178.00 / $16,713.00	Facility		$1,169.00	$5,178.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,007.00 / $13,707.00	Facility		$2,629.00	$7,007.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
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 $284.06 / $346.76 / $433.45	Professional		$284.06	$346.76	$433.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.48 / $413.19 / $754.10	Professional		$299.48	$413.19	$754.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $721.07 / $1,580.61 / $5,000.00	Facility		$721.07	$1,580.61	$5,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $65.04 / $152.59 / $158.06	Facility	AS	$65.04	$152.59	$158.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.74 / $400.40 / $545.91	Facility		$323.74	$400.40	$545.91
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $126.94 / $126.94 / $126.94	Facility	80	$126.94	$126.94	$126.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $37.39 / $37.39 / $107.90	Facility	AS	$37.39	$37.39	$107.90
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00