Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,983.00 / $11,324.00 / $24,033.00	Facility		$3,983.00	$11,324.00	$24,033.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $19,252.00	Facility		$3,537.00	$9,830.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $21,563.06	Facility		$66.00	$100.00	$21,563.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.09 / $13,334.00 / $14,932.00	Facility		$6,185.09	$13,334.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $600.89 / $995.56 / $1,344.01	Professional		$600.89	$995.56	$1,344.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $896.00 / $1,145.70 / $2,037.75	Professional		$896.00	$1,145.70	$2,037.75
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 $5,804.75 / $26,542.00 / $27,770.10	Facility		$5,804.75	$26,542.00	$27,770.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $202.86 / $2,632.21 / $2,632.21	Facility	AS	$202.86	$2,632.21	$2,632.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.25 / $1,212.04 / $1,932.65	Facility		$926.25	$1,212.04	$1,932.65
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $344.07 / $344.07 / $344.07	Facility	80	$344.07	$344.07	$344.07
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $292.45 / $292.45 / $292.45	Facility	AS	$292.45	$292.45	$292.45
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,571.00	Facility		$7,696.00	$13,722.00	$29,571.00