Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $6,695.00 / $19,484.00	Facility		$2,608.00	$6,695.00	$19,484.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,031.00 / $22,085.00	Facility		$3,222.00	$9,031.00	$22,085.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,836.00 / $2,836.00 / $2,836.00	Facility		$2,836.00	$2,836.00	$2,836.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $898.62 / $1,275.90	Professional		$593.82	$898.62	$1,275.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.72 / $1,155.06 / $2,099.94	Professional		$821.72	$1,155.06	$2,099.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $4,189.30 / $5,237.05	Facility		$2,000.00	$4,189.30	$5,237.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $175.39 / $412.36 / $447.27	Facility	AS	$175.39	$412.36	$447.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $937.91 / $1,160.19 / $1,527.69	Facility		$937.91	$1,160.19	$1,527.69
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $342.14 / $342.14 / $342.14	Facility	80	$342.14	$342.14	$342.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $100.81 / $100.81 / $290.82	Facility	AS	$100.81	$100.81	$290.82
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