Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $7,368.00 / $22,788.00	Facility		$1,820.00	$7,368.00	$22,788.00
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 / $8,569.29	Facility		$66.00	$100.00	$8,569.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,861.42 / $15,871.20	Facility		$2,277.00	$8,861.42	$15,871.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $782.82 / $1,056.81	Professional		$337.30	$782.82	$1,056.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $869.00 / $1,561.54	Professional		$638.07	$869.00	$1,561.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,089.35 / $25,593.60 / $26,542.00	Facility		$3,089.35	$25,593.60	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $151.02 / $2,425.91 / $2,425.91	Facility	AS	$151.02	$2,425.91	$2,425.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.72 / $862.98 / $1,177.76	Facility		$698.72	$862.98	$1,177.76
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $250.28 / $250.28 / $250.28	Facility	80	$250.28	$250.28	$250.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $74.45 / $74.45 / $212.74	Facility	AS	$74.45	$74.45	$212.74
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,507.55 / $28,973.00	Facility		$7,212.00	$13,507.55	$28,973.00