Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,384.00 / $22,330.11	Facility		$2,616.00	$9,384.00	$22,330.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,445.00 / $9,030.00 / $17,774.00	Facility		$3,445.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,674.20	Facility		$66.00	$100.00	$15,674.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $6,894.76 / $12,348.83	Facility		$4,340.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $994.79 / $1,361.99 / $1,881.75	Professional		$994.79	$1,361.99	$1,881.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,124.15 / $1,555.00 / $2,805.24	Professional		$1,124.15	$1,555.00	$2,805.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $12,816.43 / $19,913.50	Facility		$5,897.00	$12,816.43	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $269.27 / $1,887.52 / $1,887.52	Facility	AS	$269.27	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.03 / $1,545.89 / $2,393.71	Facility		$1,258.03	$1,545.89	$2,393.71
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $468.69 / $468.69 / $468.69	Facility	80	$468.69	$468.69	$468.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $139.43 / $139.43 / $398.39	Facility	AS	$139.43	$139.43	$398.39
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $14,160.00 / $33,317.00	Facility		$7,212.00	$14,160.00	$33,317.00