Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,211.00 / $16,713.00	Facility		$2,020.00	$6,211.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,726.46 / $2,353.27	Facility		$499.60	$1,726.46	$2,353.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $1,066.73 / $1,440.09	Professional		$421.82	$1,066.73	$1,440.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.23 / $1,117.38 / $2,106.30	Professional		$840.23	$1,117.38	$2,106.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,710.74 / $7,373.38 / $16,394.00	Facility		$5,710.74	$7,373.38	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $207.29 / $652.85 / $652.85	Facility	AS	$207.29	$652.85	$652.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $924.25 / $1,135.65 / $1,667.02	Facility		$924.25	$1,135.65	$1,667.02
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $335.59 / $335.59 / $335.59	Facility	80	$335.59	$335.59	$335.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $285.25 / $285.25 / $285.25	Facility	AS	$285.25	$285.25	$285.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,758.00 / $21,278.00	Facility		$4,331.00	$9,758.00	$21,278.00