Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,614.00 / $9,628.00 / $20,509.00	Facility		$3,614.00	$9,628.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,754.00 / $23,385.47	Facility		$4,437.00	$10,754.00	$23,385.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
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 $740.50 / $1,120.60 / $1,594.82	Professional		$740.50	$1,120.60	$1,594.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,196.11 / $1,530.16 / $2,772.90	Professional		$1,196.11	$1,530.16	$2,772.90
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 / $11,173.12	Facility		$2,800.00	$10,160.00	$11,173.12
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $233.60 / $545.58 / $587.71	Facility	AS	$233.60	$545.58	$587.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,275.13 / $1,620.50 / $2,336.94	Facility		$1,275.13	$1,620.50	$2,336.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $451.99 / $451.99 / $451.99	Facility	80	$451.99	$451.99	$451.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $384.19 / $384.19 / $384.19	Facility	AS	$384.19	$384.19	$384.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,319.00 / $20,279.00	Facility		$2,009.00	$5,319.00	$20,279.00