Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,011.00 / $19,126.50	Facility		$1,992.00	$8,011.00	$19,126.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,110.00 / $17,774.00	Facility		$2,776.00	$9,110.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,052.99	Facility		$66.00	$100.00	$11,052.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $19,045.41 / $34,111.19	Facility		$2,813.00	$19,045.41	$34,111.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $1,100.40 / $1,485.54	Professional		$597.91	$1,100.40	$1,485.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.77 / $1,233.86 / $2,209.71	Professional		$877.77	$1,233.86	$2,209.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,520.60 / $26,542.00 / $55,007.05	Facility		$3,520.60	$26,542.00	$55,007.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $215.86 / $5,213.89 / $5,213.89	Facility	AS	$215.86	$5,213.89	$5,213.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,004.42 / $1,252.26 / $1,657.29	Facility		$1,004.42	$1,252.26	$1,657.29
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $357.69 / $357.69 / $357.69	Facility	80	$357.69	$357.69	$357.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $105.84 / $105.84 / $304.02	Facility	AS	$105.84	$105.84	$304.02
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00