Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,384.00 / $19,368.00	Facility		$2,421.00	$9,384.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,031.00 / $22,085.00	Facility		$3,222.00	$9,031.00	$22,085.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,114.52	Facility		$64.40	$100.00	$8,114.52
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 $1,048.02 / $1,585.97 / $2,479.50	Professional		$1,048.02	$1,585.97	$2,479.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,629.82 / $2,263.64 / $4,103.88	Professional		$1,629.82	$2,263.64	$4,103.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,325.93 / $22,853.60	Facility		$55.00	$22,325.93	$22,853.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $350.14 / $824.88 / $879.96	Facility	AS	$350.14	$824.88	$879.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,852.55 / $2,275.01 / $3,300.00	Facility		$1,852.55	$2,275.01	$3,300.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $202.26 / $202.26 / $579.24	Facility	AS	$202.26	$202.26	$579.24
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00