Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.20 / $9,639.00 / $20,509.00	Facility		$602.20	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,121.41	Facility		$64.40	$100.00	$7,121.41
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 $442.66 / $636.17 / $837.36	Professional		$442.66	$636.17	$837.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $539.33 / $734.15 / $1,333.93	Professional		$539.33	$734.15	$1,333.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,320.00 / $3,403.40	Facility		$55.00	$3,320.00	$3,403.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $114.63 / $268.70 / $284.64	Facility	AS	$114.63	$268.70	$284.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.62 / $769.19 / $1,052.25	Facility		$612.62	$769.19	$1,052.25
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $65.95 / $65.95 / $192.10	Facility	AS	$65.95	$65.95	$192.10
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