Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,403.00 / $19,368.00	Facility		$2,616.00	$9,403.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $10,033.91	Facility		$64.40	$100.00	$10,033.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.88 / $1,564.56 / $2,626.43	Professional		$1,033.88	$1,564.56	$2,626.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,702.60 / $2,388.66 / $4,417.16	Professional		$1,702.60	$2,388.66	$4,417.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,742.39 / $28,326.61	Facility		$55.00	$27,742.39	$28,326.61
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $365.75 / $858.79 / $925.85	Facility	AS	$365.75	$858.79	$925.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.15 / $2,417.35 / $3,390.03	Facility		$1,949.15	$2,417.35	$3,390.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $713.06 / $713.06 / $713.06	Facility	80	$713.06	$713.06	$713.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $209.94 / $209.94 / $606.10	Facility	AS	$209.94	$209.94	$606.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,341.00 / $26,451.00	Facility		$5,478.00	$12,341.00	$26,451.00