Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,392.50 / $7,368.00 / $19,124.00	Facility		$2,392.50	$7,368.00	$19,124.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,484.00 / $17,774.00	Facility		$3,204.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $8,885.87	Facility		$66.90	$100.00	$8,885.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,000.00 / $25,197.00	Facility		$2,277.00	$5,000.00	$25,197.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $407.30 / $645.63 / $871.60	Professional		$407.30	$645.63	$871.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.59 / $721.15 / $1,289.66	Professional		$527.59	$721.15	$1,289.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,067.32 / $8,957.00 / $26,542.00	Facility		$3,067.32	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $124.84 / $849.00 / $849.00	Facility	AS	$124.84	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $582.88 / $746.24 / $1,129.14	Facility		$582.88	$746.24	$1,129.14
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $207.11 / $207.11 / $207.11	Facility	80	$207.11	$207.11	$207.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $61.52 / $61.52 / $176.04	Facility	AS	$61.52	$61.52	$176.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,749.16 / $9,758.00 / $21,278.00	Facility		$4,749.16	$9,758.00	$21,278.00