Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.00 / $10,596.00 / $24,401.00	Facility		$3,801.00	$10,596.00	$24,401.00
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 / $10,977.49	Facility		$66.00	$100.00	$10,977.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.09 / $12,122.00 / $14,932.00	Facility		$6,185.09	$12,122.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $698.74 / $922.50 / $1,245.38	Professional		$698.74	$922.50	$1,245.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.25 / $1,061.26 / $1,886.83	Professional		$830.25	$1,061.26	$1,886.83
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 $5,373.97 / $12,650.00 / $27,770.10	Facility		$5,373.97	$12,650.00	$27,770.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.34 / $2,632.21 / $2,632.21	Facility	AS	$187.34	$2,632.21	$2,632.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $854.25 / $1,107.07 / $1,604.62	Facility		$854.25	$1,107.07	$1,604.62
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $317.99 / $317.99 / $317.99	Facility	80	$317.99	$317.99	$317.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $270.29 / $270.29 / $270.29	Facility	AS	$270.29	$270.29	$270.29
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,205.00 / $30,330.00	Facility		$7,696.00	$13,205.00	$30,330.00