Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,332.02 / $2,086.00 / $2,362.46	Professional		$1,332.02	$2,086.00	$2,362.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $246.29 / $9,504.00	Professional		$203.55	$246.29	$9,504.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,143.53 / $1,633.61 / $3,640.01	Professional		$1,143.53	$1,633.61	$3,640.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,001.82 / $6,001.82 / $6,001.82	Facility		$6,001.82	$6,001.82	$6,001.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,513.25 / $2,764.58 / $4,021.20	Professional		$2,513.25	$2,764.58	$4,021.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,261.92 / $2,764.58 / $4,398.18	Professional		$2,261.92	$2,764.58	$4,398.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,373.06 / $11,937.94 / $11,937.94	Facility		$4,373.06	$11,937.94	$11,937.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,515.99 / $13,612.50 / $18,849.38	Professional		$12,515.99	$13,612.50	$18,849.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,001.82 / $6,001.82 / $6,001.82	Facility		$6,001.82	$6,001.82	$6,001.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,764.58 / $2,764.58 / $4,398.18	Professional		$2,764.58	$2,764.58	$4,398.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,055.57 / $4,528.88	Professional		$1,055.57	$1,055.57	$4,528.88