Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,945.00 / $25,694.00	Facility		$2,387.00	$7,945.00	$25,694.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $8,938.65	Facility		$66.90	$100.00	$8,938.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,969.69 / $16,065.11	Facility		$2,277.00	$8,969.69	$16,065.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $894.12 / $1,207.06	Professional		$505.96	$894.12	$1,207.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.98 / $1,002.09 / $1,797.00	Professional		$723.98	$1,002.09	$1,797.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,864.72 / $25,906.30 / $26,542.00	Facility		$2,864.72	$25,906.30	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $174.81 / $2,455.55 / $2,455.55	Facility	AS	$174.81	$2,455.55	$2,455.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $802.74 / $1,022.00 / $1,361.55	Facility		$802.74	$1,022.00	$1,361.55
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $292.16 / $292.16 / $292.16	Facility	80	$292.16	$292.16	$292.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.46 / $86.46 / $248.34	Facility	AS	$86.46	$86.46	$248.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00