Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,624.00 / $9,665.00 / $20,509.00	Facility		$3,624.00	$9,665.00	$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 $868.95 / $1,314.97 / $1,761.98	Professional		$868.95	$1,314.97	$1,761.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,321.49 / $1,692.67 / $3,075.47	Professional		$1,321.49	$1,692.67	$3,075.47
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 / $12,436.64	Facility		$2,800.00	$10,160.00	$12,436.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $259.93 / $606.13 / $651.24	Facility	AS	$259.93	$606.13	$651.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,410.56 / $1,822.43 / $2,594.36	Facility		$1,410.56	$1,822.43	$2,594.36
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $503.13 / $503.13 / $503.13	Facility	80	$503.13	$503.13	$503.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $427.66 / $427.66 / $427.66	Facility	AS	$427.66	$427.66	$427.66
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