Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.00 / $8,479.00 / $19,368.00	Facility		$2,884.00	$8,479.00	$19,368.00
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 / $11,407.14	Facility		$66.00	$100.00	$11,407.14
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 $608.04 / $866.92 / $1,170.33	Professional		$608.04	$866.92	$1,170.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.23 / $997.06 / $1,771.92	Professional		$780.23	$997.06	$1,771.92
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 $3,601.35 / $12,623.50 / $26,542.00	Facility		$3,601.35	$12,623.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $175.93 / $1,196.53 / $1,196.53	Facility	AS	$175.93	$1,196.53	$1,196.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $750.51 / $966.50 / $1,516.26	Facility		$750.51	$966.50	$1,516.26
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $297.95 / $297.95 / $297.95	Facility	80	$297.95	$297.95	$297.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $253.25 / $253.25 / $253.25	Facility	AS	$253.25	$253.25	$253.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,713.00 / $21,278.00	Facility		$4,110.00	$9,713.00	$21,278.00