Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,880.00 / $18,483.00	Facility		$2,197.85	$6,880.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,362.00 / $18,394.00	Facility		$2,629.00	$7,362.00	$18,394.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,334.03	Facility		$66.00	$100.00	$12,334.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,825.43 / $25,793.69 / $50,000.00	Facility		$21,825.43	$25,793.69	$50,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $904.14 / $994.55 / $24,222.64	Professional		$904.14	$994.55	$24,222.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.51 / $1,039.76 / $1,867.69	Professional		$810.51	$1,039.76	$1,867.69
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 $2,980.08 / $26,542.00 / $97,992.80	Facility		$2,980.08	$26,542.00	$97,992.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $184.88 / $9,288.33 / $9,288.33	Facility	AS	$184.88	$9,288.33	$9,288.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $833.04 / $1,125.39 / $1,814.68	Facility		$833.04	$1,125.39	$1,814.68
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $303.85 / $303.85 / $303.85	Facility	80	$303.85	$303.85	$303.85
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $258.27 / $258.27 / $258.27	Facility	AS	$258.27	$258.27	$258.27
United Facility/Professional Facility Modifier Low / Median / High Price $10,623.00 / $21,148.00 / $51,670.00	Facility		$10,623.00	$21,148.00	$51,670.00