Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,639.00 / $22,788.00	Facility		$2,387.00	$8,639.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,697.00	Facility		$2,143.00	$6,048.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $4,270.41 / $10,060.73	Facility		$3,613.43	$4,270.41	$10,060.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $565.52 / $793.40 / $1,071.08	Professional		$565.52	$793.40	$1,071.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.06 / $912.41 / $1,621.00	Professional		$714.06	$912.41	$1,621.00
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 $4,626.72 / $5,897.00 / $16,223.75	Facility		$4,626.72	$5,897.00	$16,223.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $159.15 / $1,537.78 / $1,537.78	Facility	AS	$159.15	$1,537.78	$1,537.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $722.02 / $925.07 / $1,373.42	Facility		$722.02	$925.07	$1,373.42
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $270.19 / $270.19 / $270.19	Facility	80	$270.19	$270.19	$270.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $229.66 / $229.66 / $229.66	Facility	AS	$229.66	$229.66	$229.66
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00