Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $7,342.00 / $22,788.00	Facility		$1,820.00	$7,342.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $14,354.10	Facility		$66.90	$100.00	$14,354.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $882.63 / $1,191.55	Professional		$505.96	$882.63	$1,191.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.28 / $990.04 / $1,780.00	Professional		$715.28	$990.04	$1,780.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,546.35 / $19,913.50	Facility		$2,000.00	$3,546.35	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.35 / $1,887.52 / $1,887.52	Facility	AS	$172.35	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.81 / $993.45 / $1,307.20	Facility		$792.81	$993.45	$1,307.20
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $288.18 / $288.18 / $288.18	Facility	80	$288.18	$288.18	$288.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $85.34 / $85.34 / $244.95	Facility	AS	$85.34	$85.34	$244.95
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00