Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,639.00 / $20,135.00	Facility		$2,843.00	$9,639.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $11,400.00 / $49,214.59	Facility		$3,908.00	$11,400.00	$49,214.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,121.41	Facility		$64.40	$100.00	$7,121.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $5,000.00	Facility		$5,000.00	$5,000.00	$5,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $893.56 / $1,880.60	Professional		$590.47	$893.56	$1,880.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.38 / $1,722.75 / $3,098.48	Professional		$1,240.38	$1,722.75	$3,098.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,923.18 / $14,190.57	Facility		$55.00	$13,923.18	$14,190.57
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $267.04 / $628.54 / $668.99	Facility	AS	$267.04	$628.54	$668.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,256.30 / $1,630.92 / $2,188.46	Facility		$1,256.30	$1,630.92	$2,188.46
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $519.44 / $519.44 / $519.44	Facility	80	$519.44	$519.44	$519.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $153.38 / $153.38 / $441.53	Facility	AS	$153.38	$153.38	$441.53
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $18,191.00 / $42,098.00	Facility		$8,822.00	$18,191.00	$42,098.00