Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,305.00 / $8,740.00 / $22,788.00	Facility		$3,305.00	$8,740.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,334.00 / $16,106.00	Facility		$2,675.00	$7,334.00	$16,106.00
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 $3,801.95 / $3,801.95 / $4,493.21	Facility		$3,801.95	$3,801.95	$4,493.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $581.90 / $733.83 / $4,219.54	Professional		$581.90	$733.83	$4,219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.78 / $772.75 / $1,431.28	Professional		$610.78	$772.75	$1,431.28
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,256.00 / $17,070.15 / $26,542.00	Facility		$4,256.00	$17,070.15	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $145.25 / $1,618.01 / $1,618.01	Facility	AS	$145.25	$1,618.01	$1,618.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $650.58 / $888.29 / $1,369.50	Facility		$650.58	$888.29	$1,369.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,651.00 / $32,191.00	Facility		$6,385.00	$13,651.00	$32,191.00