Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,276.00 / $22,788.00	Facility		$2,616.00	$9,276.00	$22,788.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,619.00 / $5,619.00 / $5,619.00	Facility	22	$5,619.00	$5,619.00	$5,619.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,139.12 / $24,548.00	Facility		$4,446.00	$11,139.12	$24,548.00
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 $7,730.00 / $7,730.00 / $7,730.00	Facility		$7,730.00	$7,730.00	$7,730.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,212.43 / $1,913.13	Professional		$801.19	$1,212.43	$1,913.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,229.50 / $1,728.90 / $3,142.05	Professional		$1,229.50	$1,728.90	$3,142.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,719.52 / $10,940.65	Facility		$55.00	$10,719.52	$10,940.65
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $261.66 / $615.52 / $669.21	Facility	AS	$261.66	$615.52	$669.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,388.66 / $1,717.58 / $2,307.71	Facility		$1,388.66	$1,717.58	$2,307.71
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $509.04 / $509.04 / $509.04	Facility	80	$509.04	$509.04	$509.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $150.40 / $150.40 / $432.68	Facility	AS	$150.40	$150.40	$432.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,313.00 / $26,451.00	Facility		$5,478.00	$12,313.00	$26,451.00