Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,386.00 / $24,401.00	Facility		$2,616.00	$9,386.00	$24,401.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,770.00 / $22,895.00	Facility		$3,585.00	$11,770.00	$22,895.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,119.08	Facility		$66.70	$100.00	$6,119.08
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 $807.68 / $1,028.31 / $1,388.22	Professional		$807.68	$1,028.31	$1,388.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $925.48 / $1,183.54 / $2,106.07	Professional		$925.48	$1,183.54	$2,106.07
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 / $6,007.89 / $12,623.50	Facility		$55.00	$6,007.89	$12,623.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $209.18 / $1,196.53 / $1,196.53	Facility	AS	$209.18	$1,196.53	$1,196.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $947.93 / $1,215.45 / $1,875.00	Facility		$947.93	$1,215.45	$1,875.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $354.73 / $354.73 / $354.73	Facility	80	$354.73	$354.73	$354.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $301.52 / $301.52 / $301.52	Facility	AS	$301.52	$301.52	$301.52
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