Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,894.00 / $19,860.00	Facility		$2,616.00	$8,894.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,747.00 / $19,696.00	Facility		$3,537.00	$9,747.00	$19,696.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,343.07	Facility		$66.00	$100.00	$11,343.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $604.92 / $608.04 / $912.06	Professional		$604.92	$608.04	$912.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.35 / $695.34 / $1,223.79	Professional		$536.35	$695.34	$1,223.79
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 $55.00 / $2,456.55 / $12,623.50	Facility		$55.00	$2,456.55	$12,623.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $120.63 / $1,196.53 / $1,196.53	Facility	AS	$120.63	$1,196.53	$1,196.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.08 / $693.29 / $1,048.82	Facility		$547.08	$693.29	$1,048.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $203.51 / $203.51 / $203.51	Facility	80	$203.51	$203.51	$203.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $172.99 / $172.99 / $172.99	Facility	AS	$172.99	$172.99	$172.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,707.00 / $21,278.00	Facility		$4,110.00	$9,707.00	$21,278.00