Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,980.33 / $7,494.00 / $18,483.00	Facility		$1,980.33	$7,494.00	$18,483.00
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 $421.82 / $876.48 / $1,183.25	Professional		$421.82	$876.48	$1,183.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.15 / $971.07 / $1,782.91	Professional		$707.15	$971.07	$1,782.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,787.60 / $19,913.50 / $26,542.00	Facility		$2,787.60	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $171.48 / $1,887.52 / $1,887.52	Facility	AS	$171.48	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $785.72 / $978.28 / $1,316.85	Facility		$785.72	$978.28	$1,316.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $283.68 / $283.68 / $283.68	Facility	80	$283.68	$283.68	$283.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.96 / $83.96 / $241.13	Facility	AS	$83.96	$83.96	$241.13
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00