Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,954.00 / $18,681.00	Facility		$1,992.00	$7,954.00	$18,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $861.12 / $1,162.51	Professional		$505.96	$861.12	$1,162.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.20 / $964.64 / $1,729.46	Professional		$697.20	$964.64	$1,729.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,452.15 / $8,957.00 / $26,542.00	Facility		$3,452.15	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $167.89 / $849.00 / $849.00	Facility	AS	$167.89	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.86 / $956.94 / $1,311.20	Facility		$772.86	$956.94	$1,311.20
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $280.08 / $280.08 / $280.08	Facility	80	$280.08	$280.08	$280.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $238.07	Facility	AS	$83.10	$83.10	$238.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00