Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,160.15 / $8,763.00 / $19,368.00	Facility		$2,160.15	$8,763.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,830.00 / $19,252.00	Facility		$3,403.00	$9,830.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,160.54	Facility		$66.00	$100.00	$6,160.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.21 / $4,660.16 / $10,978.93	Facility		$3,943.21	$4,660.16	$10,978.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $350.13 / $777.62 / $1,049.79	Professional		$350.13	$777.62	$1,049.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.14 / $894.26 / $1,579.86	Professional		$697.14	$894.26	$1,579.86
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 / $3,207.50 / $17,704.40	Facility		$55.00	$3,207.50	$17,704.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $157.22 / $1,678.13 / $1,678.13	Facility	AS	$157.22	$1,678.13	$1,678.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $646.05 / $864.34 / $1,255.26	Facility		$646.05	$864.34	$1,255.26
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $265.44 / $265.44 / $265.44	Facility	80	$265.44	$265.44	$265.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $225.62 / $225.62 / $225.62	Facility	AS	$225.62	$225.62	$225.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00