Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.75 / $6,640.00 / $21,684.00	Facility		$1,363.75	$6,640.00	$21,684.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $9,422.00	Facility		$66.90	$100.00	$9,422.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $6,906.96 / $12,348.83	Facility		$5,980.00	$6,906.96	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $666.79 / $1,059.05 / $4,922.37	Professional		$666.79	$1,059.05	$4,922.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.78 / $1,192.75 / $2,078.00	Professional		$858.78	$1,192.75	$2,078.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $19,913.50 / $20,000.00	Facility		$1,800.00	$19,913.50	$20,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $208.36 / $1,887.52 / $1,887.52	Facility	AS	$208.36	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.47 / $1,177.46 / $1,694.48	Facility		$938.47	$1,177.46	$1,694.48
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $349.72 / $349.72 / $349.72	Facility	80	$349.72	$349.72	$349.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $103.31 / $103.31 / $297.26	Facility	AS	$103.31	$103.31	$297.26
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $28,973.00	Facility		$7,696.00	$13,651.00	$28,973.00