Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,530.35 / $9,639.00 / $22,788.00	Facility		$3,530.35	$9,639.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,362.00 / $16,460.00	Facility		$2,629.00	$7,362.00	$16,460.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $16,129.57	Facility		$66.00	$100.00	$16,129.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,038.17 / $7,136.02 / $16,811.84	Facility		$6,038.17	$7,136.02	$16,811.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $1,240.19 / $1,674.26	Professional		$632.54	$1,240.19	$1,674.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.17 / $1,428.13 / $2,590.33	Professional		$1,116.17	$1,428.13	$2,590.33
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 $55.00 / $8,248.64 / $27,110.45	Facility		$55.00	$8,248.64	$27,110.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $256.89 / $2,569.69 / $2,569.69	Facility	AS	$256.89	$2,569.69	$2,569.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,294.58 / $1,627.03 / $2,316.94	Facility		$1,294.58	$1,627.03	$2,316.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $479.23 / $479.23 / $479.23	Facility	80	$479.23	$479.23	$479.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $407.35 / $407.35 / $407.35	Facility	AS	$407.35	$407.35	$407.35
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00