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 / $11,098.00 / $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 / $7,125.38	Facility		$64.40	$100.00	$7,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,572.00 / $2,572.00 / $2,572.00	Facility		$2,572.00	$2,572.00	$2,572.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $800.82 / $1,126.92 / $1,514.84	Professional		$800.82	$1,126.92	$1,514.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.40 / $1,276.94 / $2,290.64	Professional		$919.40	$1,276.94	$2,290.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $5,568.72 / $6,967.74	Facility		$2,000.00	$5,568.72	$6,967.74
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.34 / $456.72 / $494.57	Facility	AS	$194.34	$456.72	$494.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,041.20 / $1,314.04 / $1,791.54	Facility		$1,041.20	$1,314.04	$1,791.54
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $379.53 / $379.53 / $379.53	Facility	80	$379.53	$379.53	$379.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $111.81 / $111.81 / $322.60	Facility	AS	$111.81	$111.81	$322.60
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00