Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $10,004.00 / $22,788.00	Facility		$2,843.00	$10,004.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,566.00 / $9,830.00 / $21,194.00	Facility		$3,566.00	$9,830.00	$21,194.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,646.91	Facility		$64.40	$100.00	$7,646.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,500.00 / $29,213.22 / $50,000.00	Facility		$9,500.00	$29,213.22	$50,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,105.80 / $1,754.99	Professional		$927.77	$1,105.80	$1,754.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $899.42 / $1,237.73 / $2,302.48	Professional		$899.42	$1,237.73	$2,302.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,184.56 / $84,373.80	Facility		$55.00	$7,184.56	$84,373.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $219.01 / $7,997.44 / $7,997.44	Facility	AS	$219.01	$7,997.44	$7,997.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,016.01 / $1,282.23 / $1,980.19	Facility		$1,016.01	$1,282.23	$1,980.19
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $366.81 / $366.81 / $366.81	Facility	80	$366.81	$366.81	$366.81
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $108.27 / $108.27 / $311.79	Facility	AS	$108.27	$108.27	$311.79
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00