Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.23 / $7,858.00 / $22,788.00	Facility		$1,772.23	$7,858.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,110.00 / $17,774.00	Facility		$2,776.00	$9,110.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,574.64	Facility		$66.00	$100.00	$10,574.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $17,315.66 / $31,013.15	Facility		$2,813.00	$17,315.66	$31,013.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $722.26 / $1,148.18 / $1,550.04	Professional		$722.26	$1,148.18	$1,550.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.74 / $1,295.14 / $2,352.98	Professional		$920.74	$1,295.14	$2,352.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,671.05 / $26,542.00 / $50,011.20	Facility		$4,671.05	$26,542.00	$50,011.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $226.33 / $4,740.35 / $4,740.35	Facility	AS	$226.33	$4,740.35	$4,740.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,039.27 / $1,285.56 / $1,766.67	Facility		$1,039.27	$1,285.56	$1,766.67
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $380.43 / $380.43 / $380.43	Facility	80	$380.43	$380.43	$380.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $323.36	Facility	AS	$112.33	$112.33	$323.36
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,312.00	Facility		$7,696.00	$13,784.00	$29,312.00