Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.99 / $6,423.00 / $17,701.00	Facility		$694.99	$6,423.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,416.95	Facility		$66.00	$100.00	$9,416.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $554.74 / $1,006.75	Professional		$295.23	$554.74	$1,006.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.91 / $671.17 / $1,152.00	Professional		$437.91	$671.17	$1,152.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,003.24 / $2,174.55 / $26,542.00	Facility		$2,003.24	$2,174.55	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $196.49 / $217.46 / $217.46	Facility	AS	$196.49	$217.46	$217.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $514.91 / $677.81 / $955.50	Facility		$514.91	$677.81	$955.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $229.47 / $229.47 / $229.47	Facility	80	$229.47	$229.47	$229.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $72.42 / $72.42 / $195.05	Facility	AS	$72.42	$72.42	$195.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00