Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.79 / $6,948.00 / $20,103.00	Facility		$874.79	$6,948.00	$20,103.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,378.59	Facility		$66.00	$100.00	$10,378.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $9,910.17 / $17,749.57	Facility		$2,813.00	$9,910.17	$17,749.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $793.10 / $1,345.76	Professional		$379.37	$793.10	$1,345.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.62 / $920.57 / $1,556.92	Professional		$630.62	$920.57	$1,556.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,912.44 / $3,123.36 / $26,542.00	Facility		$2,912.44	$3,123.36	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $283.69 / $312.33 / $312.33	Facility	AS	$283.69	$312.33	$312.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $674.61 / $919.01 / $1,310.64	Facility		$674.61	$919.01	$1,310.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $315.29 / $315.29 / $315.29	Facility	80	$315.29	$315.29	$315.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $104.89 / $104.89 / $268.00	Facility	AS	$104.89	$104.89	$268.00
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