Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,392.00 / $9,560.00 / $20,728.64	Facility		$3,392.00	$9,560.00	$20,728.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,747.00 / $19,696.00	Facility		$3,242.00	$9,747.00	$19,696.00
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 $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $1,201.63 / $1,622.20	Professional		$632.54	$1,201.63	$1,622.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,081.47 / $1,383.88 / $2,502.63	Professional		$1,081.47	$1,383.88	$2,502.63
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 / $16,547.20	Facility		$5,897.00	$5,897.00	$16,547.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $243.74 / $1,568.44 / $1,568.44	Facility	AS	$243.74	$1,568.44	$1,568.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,098.46 / $1,405.01 / $2,111.05	Facility		$1,098.46	$1,405.01	$2,111.05
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $415.12 / $415.12 / $415.12	Facility	80	$415.12	$415.12	$415.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $352.85 / $352.85 / $352.85	Facility	AS	$352.85	$352.85	$352.85
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00