Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $11,337.00 / $34,145.19	Facility		$3,546.09	$11,337.00	$34,145.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $9,830.00 / $20,418.00	Facility		$3,275.00	$9,830.00	$20,418.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $16,382.99	Facility		$66.70	$100.00	$16,382.99
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 $674.61 / $1,015.56 / $1,371.01	Professional		$674.61	$1,015.56	$1,371.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,169.21 / $2,112.30	Professional		$914.00	$1,169.21	$2,112.30
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 $5,897.00 / $5,897.00 / $16,223.75	Facility		$5,897.00	$5,897.00	$16,223.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $205.18 / $1,537.78 / $1,537.78	Facility	AS	$205.18	$1,537.78	$1,537.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $939.75 / $1,237.99 / $1,829.96	Facility		$939.75	$1,237.99	$1,829.96
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $350.36 / $350.36 / $350.36	Facility	80	$350.36	$350.36	$350.36
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $297.81 / $297.81 / $297.81	Facility	AS	$297.81	$297.81	$297.81
United Facility/Professional Facility Modifier Low / Median / High Price $6,341.00 / $13,555.00 / $29,312.00	Facility		$6,341.00	$13,555.00	$29,312.00