Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,250.92 / $8,213.56 / $22,788.00	Facility		$2,250.92	$8,213.56	$22,788.00
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 / $19,354.48 / $34,664.75	Facility		$2,813.00	$19,354.48	$34,664.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $849.12 / $1,146.31	Professional		$463.89	$849.12	$1,146.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $687.47 / $951.99 / $1,703.68	Professional		$687.47	$951.99	$1,703.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,706.44 / $26,542.00 / $55,899.70	Facility		$2,706.44	$26,542.00	$55,899.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $167.26 / $5,298.50 / $5,298.50	Facility	AS	$167.26	$5,298.50	$5,298.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $778.01 / $1,015.43 / $1,348.95	Facility		$778.01	$1,015.43	$1,348.95
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $278.29 / $278.29 / $278.29	Facility	80	$278.29	$278.29	$278.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.76 / $81.76 / $236.54	Facility	AS	$81.76	$81.76	$236.54
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