Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $5,740.00 / $17,013.00	Facility		$1,080.00	$5,740.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,028.10	Facility		$66.00	$100.00	$8,028.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,948.28 / $16,026.77	Facility		$1,992.00	$8,948.28	$16,026.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $759.16 / $1,024.86	Professional		$400.59	$759.16	$1,024.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.08 / $854.16 / $1,527.97	Professional		$625.08	$854.16	$1,527.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,439.00 / $16,394.00 / $25,844.45	Facility		$2,439.00	$16,394.00	$25,844.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $149.93 / $2,449.69 / $2,449.69	Facility	AS	$149.93	$2,449.69	$2,449.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $694.53 / $901.95 / $1,274.58	Facility		$694.53	$901.95	$1,274.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $247.07 / $247.07 / $247.07	Facility	80	$247.07	$247.07	$247.07
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $73.45 / $73.45 / $210.01	Facility	AS	$73.45	$73.45	$210.01
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