Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,384.00 / $21,357.00	Facility		$2,843.00	$9,384.00	$21,357.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $9,644.00 / $19,252.00	Facility		$3,275.00	$9,644.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
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 $476.54 / $721.15 / $997.34	Professional		$476.54	$721.15	$997.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.89 / $955.79 / $1,696.33	Professional		$745.89	$955.79	$1,696.33
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 $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 $169.99 / $1,279.44 / $1,279.44	Facility	AS	$169.99	$1,279.44	$1,279.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $796.38 / $1,006.07 / $1,455.90	Facility		$796.38	$1,006.07	$1,455.90
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $280.47 / $280.47 / $280.47	Facility	80	$280.47	$280.47	$280.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $238.40 / $238.40 / $238.40	Facility	AS	$238.40	$238.40	$238.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00