Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.13 / $6,342.00 / $17,701.00	Facility		$785.13	$6,342.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,174.96	Facility		$66.00	$100.00	$9,174.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $9,533.04 / $17,074.09	Facility		$2,000.00	$9,533.04	$17,074.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $557.87 / $753.12 / $1,117.49	Professional		$557.87	$753.12	$1,117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.91 / $744.45 / $1,288.95	Professional		$487.91	$744.45	$1,288.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,278.84 / $2,419.84	Facility		$55.00	$2,278.84	$2,419.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $219.66 / $241.98 / $241.98	Facility	AS	$219.66	$241.98	$241.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.35 / $768.46 / $1,123.33	Facility		$576.35	$768.46	$1,123.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $268.91 / $268.91 / $268.91	Facility	80	$268.91	$268.91	$268.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.75 / $81.75 / $228.57	Facility	AS	$81.75	$81.75	$228.57
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,555.00 / $29,312.00	Facility		$7,212.00	$13,555.00	$29,312.00