Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,392.50 / $6,981.29 / $20,509.00	Facility		$2,392.50	$6,981.29	$20,509.00
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 / $8,569.29	Facility		$66.00	$100.00	$8,569.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,809.06 / $15,777.43	Facility		$2,277.00	$8,809.06	$15,777.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $567.01 / $989.10 / $1,335.29	Professional		$567.01	$989.10	$1,335.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.81 / $1,094.70 / $1,967.06	Professional		$795.81	$1,094.70	$1,967.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,095.08 / $25,442.40 / $26,542.00	Facility		$3,095.08	$25,442.40	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.01 / $2,411.58 / $2,411.58	Facility	AS	$191.01	$2,411.58	$2,411.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $759.38 / $1,041.83 / $1,436.27	Facility		$759.38	$1,041.83	$1,436.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $315.42 / $315.42 / $315.42	Facility	80	$315.42	$315.42	$315.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $93.73 / $93.73 / $268.11	Facility	AS	$93.73	$93.73	$268.11
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