Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $8,934.00 / $20,509.00	Facility		$2,231.07	$8,934.00	$20,509.00
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 $64.40 / $100.00 / $13,885.02	Facility		$64.40	$100.00	$13,885.02
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 $364.32 / $781.95 / $1,055.63	Professional		$364.32	$781.95	$1,055.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.42 / $899.24 / $1,595.15	Professional		$702.42	$899.24	$1,595.15
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 / $4,529.42 / $17,704.40	Facility		$55.00	$4,529.42	$17,704.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.05 / $1,678.13 / $1,678.13	Facility	AS	$158.05	$1,678.13	$1,678.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.42 / $882.50 / $1,283.69	Facility		$702.42	$882.50	$1,283.69
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $267.37 / $267.37 / $267.37	Facility	80	$267.37	$267.37	$267.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $227.26 / $227.26 / $227.26	Facility	AS	$227.26	$227.26	$227.26
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