Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,740.00 / $7,400.00 / $18,252.00	Facility		$1,740.00	$7,400.00	$18,252.00
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 / $10,419.62	Facility		$66.00	$100.00	$10,419.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $18,553.11 / $33,229.46	Facility		$2,813.00	$18,553.11	$33,229.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $912.05 / $1,231.27	Professional		$421.82	$912.05	$1,231.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.30 / $1,022.00 / $1,830.00	Professional		$738.30	$1,022.00	$1,830.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,910.40 / $26,542.00 / $53,585.20	Facility		$2,910.40	$26,542.00	$53,585.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $179.10 / $5,079.12 / $5,079.12	Facility	AS	$179.10	$5,079.12	$5,079.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.82 / $1,053.83 / $1,388.61	Facility		$831.82	$1,053.83	$1,388.61
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $295.63 / $295.63 / $295.63	Facility	80	$295.63	$295.63	$295.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $87.84 / $87.84 / $251.29	Facility	AS	$87.84	$87.84	$251.29
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,784.00 / $28,973.00	Facility		$7,212.00	$13,784.00	$28,973.00