Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $21,960.90	Facility		$873.00	$9,674.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.48 / $5,913.00 / $12,527.00	Facility		$2,399.48	$5,913.00	$12,527.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $201.50 / $270.29	Professional		$180.19	$201.50	$270.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $218.25 / $388.13	Professional		$157.13	$218.25	$388.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,271.78 / $2,733.36 / $5,000.00	Facility		$2,271.78	$2,733.36	$5,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $33.88 / $79.33 / $82.94	Facility	AS	$33.88	$79.33	$82.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.08 / $222.25 / $354.69	Facility		$181.08	$222.25	$354.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $19.50 / $19.50 / $57.12	Facility	AS	$19.50	$19.50	$57.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,904.00 / $6,108.00 / $17,464.00	Facility		$1,904.00	$6,108.00	$17,464.00