Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $11,838.00 / $28,528.00	Facility		$3,546.09	$11,838.00	$28,528.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,770.00 / $22,895.00	Facility		$3,585.00	$11,770.00	$22,895.00
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 $3,685.47 / $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 $759.12 / $1,072.72 / $1,448.17	Professional		$759.12	$1,072.72	$1,448.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $965.45 / $1,225.00 / $2,231.00	Professional		$965.45	$1,225.00	$2,231.00
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 $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 $216.16 / $1,568.44 / $1,568.44	Facility	AS	$216.16	$1,568.44	$1,568.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $992.87 / $1,289.48 / $1,897.50	Facility		$992.87	$1,289.48	$1,897.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $370.54 / $370.54 / $370.54	Facility	80	$370.54	$370.54	$370.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $314.95 / $314.95 / $314.95	Facility	AS	$314.95	$314.95	$314.95
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