Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,954.00 / $22,788.00	Facility		$2,387.00	$7,954.00	$22,788.00
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 $66.00 / $100.00 / $10,628.65	Facility		$66.00	$100.00	$10,628.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $17,013.32 / $30,471.62	Facility		$2,813.00	$17,013.32	$30,471.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $1,030.83 / $1,391.63	Professional		$463.89	$1,030.83	$1,391.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.76 / $1,155.78 / $2,097.00	Professional		$821.76	$1,155.78	$2,097.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,964.28 / $26,542.00 / $49,137.95	Facility		$4,964.28	$26,542.00	$49,137.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $201.30 / $4,657.58 / $4,657.58	Facility	AS	$201.30	$4,657.58	$4,657.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $925.70 / $1,141.33 / $1,563.88	Facility		$925.70	$1,141.33	$1,563.88
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $336.75 / $336.75 / $336.75	Facility	80	$336.75	$336.75	$336.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $99.62 / $99.62 / $286.23	Facility	AS	$99.62	$99.62	$286.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00