Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.06 / $9,639.00 / $20,509.00	Facility		$888.06	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $12,386.00 / $49,214.59	Facility		$4,446.00	$12,386.00	$49,214.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,195.10	Professional		$505.96	$765.66	$1,195.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $800.10 / $1,106.63 / $1,997.00	Professional		$800.10	$1,106.63	$1,997.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,030.00 / $5,162.70	Facility		$55.00	$5,030.00	$5,162.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $173.91 / $407.22 / $429.56	Facility	AS	$173.91	$407.22	$429.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $904.34 / $1,130.43 / $1,492.16	Facility		$904.34	$1,130.43	$1,492.16
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $343.30 / $343.30 / $343.30	Facility	80	$343.30	$343.30	$343.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $100.07 / $100.07 / $291.80	Facility	AS	$100.07	$100.07	$291.80
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $17,127.00 / $37,944.00	Facility		$8,822.00	$17,127.00	$37,944.00