Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,139.12 / $24,548.00	Facility		$4,314.00	$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 $10,666.00 / $10,666.00 / $10,666.00	Facility		$10,666.00	$10,666.00	$10,666.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $809.01 / $1,102.71 / $1,488.66	Professional		$809.01	$1,102.71	$1,488.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $898.36 / $1,247.73 / $2,268.42	Professional		$898.36	$1,247.73	$2,268.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $6,334.16 / $7,907.06	Facility		$2,000.00	$6,334.16	$7,907.06
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $189.42 / $445.36 / $483.14	Facility	AS	$189.42	$445.36	$483.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,017.13 / $1,273.76 / $1,770.79	Facility		$1,017.13	$1,273.76	$1,770.79
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $369.00 / $369.00 / $369.00	Facility	80	$369.00	$369.00	$369.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $108.71 / $108.71 / $313.64	Facility	AS	$108.71	$108.71	$313.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00