Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $10,321.00 / $22,788.00	Facility		$2,421.00	$10,321.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $11,780.00 / $23,711.32	Facility		$3,434.00	$11,780.00	$23,711.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $10,378.59	Facility		$63.90	$100.00	$10,378.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,244.61 / $2,244.61 / $2,244.61	Facility	62	$2,244.61	$2,244.61	$2,244.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,836.18 / $2,778.68 / $4,391.70	Professional		$1,836.18	$2,778.68	$4,391.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,899.07 / $3,785.05 / $6,993.40	Professional		$2,899.07	$3,785.05	$6,993.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $57,710.40 / $59,160.16	Facility		$55.00	$57,710.40	$59,160.16
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,909.91 / $9,144.40 / $9,562.91	Facility	62	$3,909.91	$9,144.40	$9,562.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,660.85 / $3,671.66 / $5,194.59	Facility		$2,660.85	$3,671.66	$5,194.59
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,244.61 / $2,244.61 / $4,805.96	Facility	62	$2,244.61	$2,244.61	$4,805.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00