Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,761.40 / $8,090.00 / $18,309.00	Facility		$2,761.40	$8,090.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $25,419.52	Facility		$3,908.00	$10,710.50	$25,419.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $15,457.42	Facility		$64.40	$100.00	$15,457.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,984.00 / $5,984.00 / $5,984.00	Facility		$5,984.00	$5,984.00	$5,984.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,396.50 / $3,033.95 / $4,095.83	Professional		$2,396.50	$3,033.95	$4,095.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,458.56 / $3,448.16 / $6,362.81	Professional		$2,458.56	$3,448.16	$6,362.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $22,468.59 / $28,425.69	Facility		$2,000.00	$22,468.59	$28,425.69
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,285.73 / $7,694.91 / $8,335.36	Facility	62	$3,285.73	$7,694.91	$8,335.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,807.70 / $3,564.18 / $4,711.84	Facility		$2,807.70	$3,564.18	$4,711.84
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,890.19 / $1,890.19 / $4,016.51	Facility	62	$1,890.19	$1,890.19	$4,016.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,028.23 / $1,028.23 / $1,028.23	Facility	80	$1,028.23	$1,028.23	$1,028.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,341.00 / $26,451.00	Facility		$5,478.00	$12,341.00	$26,451.00