Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.50 / $6,357.00 / $23,981.00	Facility		$1,259.50	$6,357.00	$23,981.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $8,028.10	Facility		$66.90	$100.00	$8,028.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $9,390.85 / $16,819.43	Facility		$1,992.00	$9,390.85	$16,819.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $546.54 / $841.90 / $1,136.57	Professional		$546.54	$841.90	$1,136.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.90 / $930.87 / $1,673.87	Professional		$679.90	$930.87	$1,673.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,635.92 / $16,394.00 / $27,122.70	Facility		$2,635.92	$16,394.00	$27,122.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $161.94 / $2,570.85 / $2,570.85	Facility	AS	$161.94	$2,570.85	$2,570.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $654.21 / $887.35 / $1,222.64	Facility		$654.21	$887.35	$1,222.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $271.86 / $271.86 / $271.86	Facility	80	$271.86	$271.86	$271.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.08 / $80.08 / $231.08	Facility	AS	$80.08	$80.08	$231.08
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,312.00	Facility		$7,696.00	$13,722.00	$29,312.00