Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,466.00 / $22,330.11	Facility		$2,197.85	$8,466.00	$22,330.11
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $9,073.44 / $9,073.44 / $9,073.44	Facility	80	$9,073.44	$9,073.44	$9,073.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $9,040.48 / $16,191.91	Facility		$2,813.00	$9,040.48	$16,191.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $874.79 / $1,180.97	Professional		$505.96	$874.79	$1,180.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.87 / $979.07 / $1,755.40	Professional		$707.87	$979.07	$1,755.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,198.08 / $26,110.75 / $26,542.00	Facility		$4,198.08	$26,110.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $170.56 / $2,474.92 / $2,474.92	Facility	AS	$170.56	$2,474.92	$2,474.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $784.71 / $985.60 / $1,320.00	Facility		$784.71	$985.60	$1,320.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $284.70 / $284.70 / $284.70	Facility	80	$284.70	$284.70	$284.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.37 / $84.37 / $242.01	Facility	AS	$84.37	$84.37	$242.01
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00