Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$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 / $7,121.41	Facility		$64.40	$100.00	$7,121.41
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 $1,033.88 / $1,564.56 / $2,131.90	Professional		$1,033.88	$1,564.56	$2,131.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,389.46 / $1,936.80 / $3,511.34	Professional		$1,389.46	$1,936.80	$3,511.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,017.34 / $19,392.00	Facility		$55.00	$19,017.34	$19,392.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $297.52 / $701.35 / $752.68	Facility	AS	$297.52	$701.35	$752.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,574.72 / $1,920.02 / $2,785.38	Facility		$1,574.72	$1,920.02	$2,785.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $575.98 / $575.98 / $575.98	Facility	80	$575.98	$575.98	$575.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $171.16 / $171.16 / $489.58	Facility	AS	$171.16	$171.16	$489.58
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