Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,165.00 / $16,713.00	Facility		$1,256.22	$5,165.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,007.09	Facility		$66.00	$100.00	$6,007.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $288.52 / $444.52 / $600.10	Professional		$288.52	$444.52	$600.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.20 / $499.86 / $845.92	Professional		$362.20	$499.86	$845.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,393.40 / $8,957.00 / $12,000.00	Facility		$1,393.40	$8,957.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $86.50 / $849.00 / $849.00	Facility	AS	$86.50	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.90 / $523.16 / $753.34	Facility		$396.90	$523.16	$753.34
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $140.43 / $140.43 / $140.43	Facility	80	$140.43	$140.43	$140.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $41.91 / $41.91 / $119.36	Facility	AS	$41.91	$41.91	$119.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00