Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.29 / $8,011.00 / $19,860.00	Facility		$87.29	$8,011.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,860.00 / $8,484.00 / $16,838.00	Facility		$2,860.00	$8,484.00	$16,838.00
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 $91.60 / $100.76 / $123.66	Professional		$91.60	$100.76	$123.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $106.76 / $219.53	Professional		$77.48	$106.76	$219.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $3,779.00 / $3,779.00	Facility		$147.13	$3,779.00	$3,779.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $12.15 / $38.45 / $40.89	Facility	AS	$12.15	$38.45	$40.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.39 / $105.33 / $146.94	Facility		$84.39	$105.33	$146.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $9.47 / $9.47 / $27.41	Facility	AS	$9.47	$9.47	$27.41
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00