Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
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 / $8,114.52	Facility		$64.40	$100.00	$8,114.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $902.46 / $1,365.68 / $1,730.98	Professional		$902.46	$1,365.68	$1,730.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,132.79 / $1,573.43 / $2,824.12	Professional		$1,132.79	$1,573.43	$2,824.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $6,893.34 / $8,613.95	Facility		$2,000.00	$6,893.34	$8,613.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $240.66 / $565.11 / $609.75	Facility	AS	$240.66	$565.11	$609.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,283.69 / $1,645.69 / $2,234.32	Facility		$1,283.69	$1,645.69	$2,234.32
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $470.88 / $470.88 / $470.88	Facility	80	$470.88	$470.88	$470.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $138.28 / $138.28 / $400.25	Facility	AS	$138.28	$138.28	$400.25
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