Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $8,499.00 / $20,135.00	Facility		$2,843.00	$8,499.00	$20,135.00
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 / $11,052.99	Facility		$66.00	$100.00	$11,052.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $18,831.86 / $33,728.71	Facility		$2,813.00	$18,831.86	$33,728.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,156.97 / $1,561.91	Professional		$716.68	$1,156.97	$1,561.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.75 / $1,306.65 / $2,376.04	Professional		$929.75	$1,306.65	$2,376.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,760.76 / $26,542.00 / $54,390.30	Facility		$3,760.76	$26,542.00	$54,390.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $229.82 / $5,155.43 / $5,155.43	Facility	AS	$229.82	$5,155.43	$5,155.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,063.63 / $1,342.96 / $1,834.43	Facility		$1,063.63	$1,342.96	$1,834.43
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $385.18 / $385.18 / $385.18	Facility	80	$385.18	$385.18	$385.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $113.45 / $113.45 / $327.41	Facility	AS	$113.45	$113.45	$327.41
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