Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,859.00 / $19,368.00	Facility		$2,616.00	$8,859.00	$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 / $7,366.65	Facility		$64.40	$100.00	$7,366.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,268.00 / $4,268.00 / $4,268.00	Facility		$4,268.00	$4,268.00	$4,268.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $1,751.84	Professional		$843.26	$1,276.09	$1,751.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,126.84 / $1,584.29 / $2,840.66	Professional		$1,126.84	$1,584.29	$2,840.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,832.62 / $10,033.52	Facility		$55.00	$9,832.62	$10,033.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $240.10 / $564.65 / $613.33	Facility	AS	$240.10	$564.65	$613.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,273.32 / $1,575.20 / $2,073.80	Facility		$1,273.32	$1,575.20	$2,073.80
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $467.41 / $467.41 / $467.41	Facility	80	$467.41	$467.41	$467.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $137.94 / $137.94 / $397.30	Facility	AS	$137.94	$137.94	$397.30
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00