Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $20,509.00	Facility		$1,820.00	$6,880.00	$20,509.00
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 $66.00 / $100.00 / $8,968.67	Facility		$66.00	$100.00	$8,968.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,881.06 / $15,906.37	Facility		$2,277.00	$8,881.06	$15,906.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $840.28 / $1,152.58 / $1,589.49	Professional		$840.28	$1,152.58	$1,589.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.03 / $1,286.59 / $2,340.78	Professional		$929.03	$1,286.59	$2,340.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,668.84 / $25,650.30 / $26,542.00	Facility		$3,668.84	$25,650.30	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $224.18 / $2,431.29 / $2,431.29	Facility	AS	$224.18	$2,431.29	$2,431.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,034.08 / $1,307.17 / $1,731.03	Facility		$1,034.08	$1,307.17	$1,731.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $377.60 / $377.60 / $377.60	Facility	80	$377.60	$377.60	$377.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $111.14 / $111.14 / $320.95	Facility	AS	$111.14	$111.14	$320.95
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,007.00 / $28,253.00	Facility		$7,696.00	$13,007.00	$28,253.00