Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,560.00 / $21,000.00	Facility		$2,616.00	$9,560.00	$21,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
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 $4,403.00 / $4,403.00 / $4,403.00	Facility		$4,403.00	$4,403.00	$4,403.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $893.56 / $1,701.59	Professional		$590.47	$893.56	$1,701.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.06 / $1,537.16 / $2,793.37	Professional		$1,093.06	$1,537.16	$2,793.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,804.20 / $6,942.85	Facility		$55.00	$6,804.20	$6,942.85
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $232.49 / $546.94 / $594.95	Facility	AS	$232.49	$546.94	$594.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,233.66 / $1,503.02 / $1,996.78	Facility		$1,233.66	$1,503.02	$1,996.78
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $451.99 / $451.99 / $451.99	Facility	80	$451.99	$451.99	$451.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $133.62 / $133.62 / $384.19	Facility	AS	$133.62	$133.62	$384.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,313.00 / $26,451.00	Facility		$5,478.00	$12,313.00	$26,451.00