Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,614.00 / $9,424.00 / $20,509.00	Facility		$3,614.00	$9,424.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,030.00 / $17,774.00	Facility		$3,204.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,835.92	Facility		$66.00	$100.00	$12,835.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,684.00 / $13,360.00 / $14,932.00	Facility		$11,684.00	$13,360.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $580.04 / $877.78 / $1,217.03	Professional		$580.04	$877.78	$1,217.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.77 / $1,167.58 / $2,076.38	Professional		$912.77	$1,167.58	$2,076.38
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 $2,800.00 / $10,160.00 / $13,486.75	Facility		$2,800.00	$10,160.00	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $209.20 / $1,279.44 / $1,279.44	Facility	AS	$209.20	$1,279.44	$1,279.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $972.99 / $1,226.95 / $1,783.82	Facility		$972.99	$1,226.95	$1,783.82
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 $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00