Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,050.00 / $18,681.00	Facility		$2,387.00	$8,050.00	$18,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,043.00 / $18,150.00	Facility		$3,242.00	$9,043.00	$18,150.00
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 $545.41 / $822.88 / $4,219.54	Professional		$545.41	$822.88	$4,219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.59 / $935.10 / $1,733.34	Professional		$740.59	$935.10	$1,733.34
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 $5,145.63 / $17,070.15 / $26,542.00	Facility		$5,145.63	$17,070.15	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $175.68 / $1,618.01 / $1,618.01	Facility	AS	$175.68	$1,618.01	$1,618.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $784.15 / $951.87 / $1,342.12	Facility		$784.15	$951.87	$1,342.12
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $32,191.00	Facility		$7,696.00	$13,722.00	$32,191.00