Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,721.83 / $10,443.00 / $28,779.00	Facility		$3,721.83	$10,443.00	$28,779.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $9,644.00 / $18,544.00	Facility		$3,738.00	$9,644.00	$18,544.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $17,058.50	Facility		$66.90	$100.00	$17,058.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,894.76 / $6,906.96 / $12,348.83	Facility		$6,894.76	$6,906.96	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.88 / $1,235.71 / $1,726.82	Professional		$912.88	$1,235.71	$1,726.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.24 / $1,407.28 / $2,555.76	Professional		$1,013.24	$1,407.28	$2,555.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,500.00 / $19,913.50 / $25,000.00	Facility		$6,500.00	$19,913.50	$25,000.00
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,522.64 / $11,796.97 / $11,796.97	Facility	62	$1,522.64	$11,796.97	$11,796.97
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $243.62 / $1,887.52 / $1,887.52	Facility	AS	$243.62	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,150.88 / $1,416.80 / $2,162.42	Facility		$1,150.88	$1,416.80	$2,162.42
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $783.15 / $783.15 / $1,648.16	Facility	62	$783.15	$783.15	$1,648.16
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $421.93 / $421.93 / $421.93	Facility	80	$421.93	$421.93	$421.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $125.30 / $125.30 / $358.64	Facility	AS	$125.30	$125.30	$358.64
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