Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,300.60 / $19,860.00	Facility		$2,616.00	$9,300.60	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $12,435.00 / $25,585.00	Facility		$4,667.00	$12,435.00	$25,585.00
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 $1,065.15 / $1,611.89 / $2,268.26	Professional		$1,065.15	$1,611.89	$2,268.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,487.38 / $2,066.48 / $3,661.86	Professional		$1,487.38	$2,066.48	$3,661.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,368.81 / $20,718.28	Facility		$55.00	$20,368.81	$20,718.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $319.23 / $752.22 / $803.80	Facility	AS	$319.23	$752.22	$803.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,685.69 / $2,074.04 / $3,020.23	Facility		$1,685.69	$2,074.04	$3,020.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $182.94 / $182.94 / $524.96	Facility	AS	$182.94	$182.94	$524.96
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