Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.00 / $7,281.00 / $18,942.89	Facility		$2,517.00	$7,281.00	$18,942.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $627.70 / $905.53 / $1,222.47	Professional		$627.70	$905.53	$1,222.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.00 / $1,016.80 / $1,833.00	Professional		$745.00	$1,016.80	$1,833.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,368.89 / $19,913.50 / $26,542.00	Facility		$4,368.89	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $177.29 / $1,887.52 / $1,887.52	Facility	AS	$177.29	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $815.82 / $1,030.59 / $1,451.58	Facility		$815.82	$1,030.59	$1,451.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $296.39 / $296.39 / $296.39	Facility	80	$296.39	$296.39	$296.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $87.65 / $87.65 / $251.94	Facility	AS	$87.65	$87.65	$251.94
United Facility/Professional Facility Modifier Low / Median / High Price $6,437.00 / $11,377.00 / $24,268.00	Facility		$6,437.00	$11,377.00	$24,268.00