Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,005.00 / $29,934.51	Facility		$2,421.00	$9,005.00	$29,934.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,110.00 / $17,774.00	Facility		$2,776.00	$9,110.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $11,710.17	Facility		$66.90	$100.00	$11,710.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $17,720.29 / $31,737.83	Facility		$2,813.00	$17,720.29	$31,737.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,031.64 / $1,392.71	Professional		$505.96	$1,031.64	$1,392.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.29 / $1,158.33 / $2,075.28	Professional		$823.29	$1,158.33	$2,075.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,979.64 / $26,542.00 / $51,179.80	Facility		$4,979.64	$26,542.00	$51,179.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $201.83 / $4,851.12 / $4,851.12	Facility	AS	$201.83	$4,851.12	$4,851.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $905.34 / $1,131.97 / $1,515.45	Facility		$905.34	$1,131.97	$1,515.45
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $337.39 / $337.39 / $337.39	Facility	80	$337.39	$337.39	$337.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $99.88 / $99.88 / $286.77	Facility	AS	$99.88	$99.88	$286.77
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,904.00 / $29,312.00	Facility		$7,696.00	$13,904.00	$29,312.00