Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,964.74 / $9,674.00 / $21,479.00	Facility		$2,964.74	$9,674.00	$21,479.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,559.83	Facility		$66.00	$100.00	$20,559.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $12,122.00 / $14,696.00	Facility		$3,613.43	$12,122.00	$14,696.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $383.10 / $578.36 / $780.79	Professional		$383.10	$578.36	$780.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.92 / $665.11 / $1,180.09	Professional		$519.92	$665.11	$1,180.09
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 $3,354.61 / $16,223.75 / $26,542.00	Facility		$3,354.61	$16,223.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $116.63 / $1,537.78 / $1,537.78	Facility	AS	$116.63	$1,537.78	$1,537.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.33 / $703.11 / $1,162.80	Facility		$530.33	$703.11	$1,162.80
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $195.80 / $195.80 / $195.80	Facility	80	$195.80	$195.80	$195.80
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $166.43 / $166.43 / $166.43	Facility	AS	$166.43	$166.43	$166.43
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00