Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,665.00 / $21,960.90	Facility		$3,089.46	$9,665.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,040.00 / $14,341.00	Facility		$2,143.00	$6,040.00	$14,341.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $22,464.94	Facility		$66.00	$100.00	$22,464.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,818.00 / $35,554.87 / $50,000.00	Facility		$4,818.00	$35,554.87	$50,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.62 / $948.03 / $1,469.07	Professional		$776.62	$948.03	$1,469.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.07 / $1,082.48 / $1,950.43	Professional		$793.07	$1,082.48	$1,950.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,000.00 / $102,689.75	Facility		$55.00	$20,000.00	$102,689.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $185.04 / $9,733.53 / $9,733.53	Facility	AS	$185.04	$9,733.53	$9,733.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $856.97 / $1,065.41 / $1,598.64	Facility		$856.97	$1,065.41	$1,598.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $320.04 / $320.04 / $320.04	Facility	80	$320.04	$320.04	$320.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $95.44 / $95.44 / $272.04	Facility	AS	$95.44	$95.44	$272.04
United Facility/Professional Facility Modifier Low / Median / High Price $9,252.00 / $16,906.00 / $48,543.00	Facility		$9,252.00	$16,906.00	$48,543.00