Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,477.00 / $9,384.00 / $20,509.00	Facility		$2,477.00	$9,384.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
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 $354.69 / $693.25 / $935.89	Professional		$354.69	$693.25	$935.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.96 / $797.24 / $1,410.22	Professional		$619.96	$797.24	$1,410.22
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 $2,849.85 / $12,623.50 / $26,542.00	Facility		$2,849.85	$12,623.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $139.55 / $1,196.53 / $1,196.53	Facility	AS	$139.55	$1,196.53	$1,196.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.12 / $769.21 / $1,092.13	Facility		$552.12	$769.21	$1,092.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $236.02 / $236.02 / $236.02	Facility	80	$236.02	$236.02	$236.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $200.61 / $200.61 / $200.61	Facility	AS	$200.61	$200.61	$200.61
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