Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,648.00 / $18,681.00	Facility		$1,956.72	$7,648.00	$18,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $758.35 / $1,023.77	Professional		$337.30	$758.35	$1,023.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.10 / $839.18 / $1,565.10	Professional		$620.10	$839.18	$1,565.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,396.04 / $19,913.50 / $26,542.00	Facility		$2,396.04	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $148.52 / $1,887.52 / $1,887.52	Facility	AS	$148.52	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $678.96 / $828.24 / $1,129.66	Facility		$678.96	$828.24	$1,129.66
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $244.11 / $244.11 / $244.11	Facility	80	$244.11	$244.11	$244.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $72.09 / $72.09 / $207.50	Facility	AS	$72.09	$72.09	$207.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,267.00 / $26,109.00	Facility		$5,799.00	$12,267.00	$26,109.00