Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,441.50 / $9,846.00 / $23,981.00	Facility		$2,441.50	$9,846.00	$23,981.00
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 $66.70 / $100.00 / $14,777.61	Facility		$66.70	$100.00	$14,777.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.09 / $13,334.00 / $14,932.00	Facility		$6,185.09	$13,334.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $510.75 / $1,077.06 / $1,454.03	Professional		$510.75	$1,077.06	$1,454.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $969.35 / $1,230.25 / $2,206.42	Professional		$969.35	$1,230.25	$2,206.42
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 $2,800.00 / $2,800.00 / $27,770.10	Facility		$2,800.00	$2,800.00	$27,770.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $219.80 / $2,632.21 / $2,632.21	Facility	AS	$219.80	$2,632.21	$2,632.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $961.38 / $1,226.61 / $1,730.33	Facility		$961.38	$1,226.61	$1,730.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $371.56 / $371.56 / $371.56	Facility	80	$371.56	$371.56	$371.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $315.83 / $315.83 / $315.83	Facility	AS	$315.83	$315.83	$315.83
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,571.00	Facility		$7,696.00	$13,722.00	$29,571.00