Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,902.00 / $9,697.00 / $22,788.00	Facility		$3,902.00	$9,697.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,360.00 / $24,456.00	Facility		$3,738.00	$12,360.00	$24,456.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,083.27	Facility		$66.00	$100.00	$12,083.27
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 $682.52 / $905.28 / $1,222.13	Professional		$682.52	$905.28	$1,222.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.96 / $1,041.07 / $1,846.17	Professional		$812.96	$1,041.07	$1,846.17
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 $5,242.09 / $5,897.00 / $27,770.10	Facility		$5,242.09	$5,897.00	$27,770.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $182.68 / $2,632.21 / $2,632.21	Facility	AS	$182.68	$2,632.21	$2,632.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $823.76 / $1,086.33 / $1,577.67	Facility		$823.76	$1,086.33	$1,577.67
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $307.83 / $307.83 / $307.83	Facility	80	$307.83	$307.83	$307.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $261.66 / $261.66 / $261.66	Facility	AS	$261.66	$261.66	$261.66
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