Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,201.25 / $20,509.00	Facility		$2,387.00	$9,201.25	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
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 $1,013.40 / $1,533.58 / $2,230.83	Professional		$1,013.40	$1,533.58	$2,230.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,449.16 / $2,026.60 / $3,683.66	Professional		$1,449.16	$2,026.60	$3,683.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,276.23 / $16,611.12	Facility		$55.00	$16,276.23	$16,611.12
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $310.60 / $731.02 / $786.59	Facility	AS	$310.60	$731.02	$786.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,651.40 / $2,037.20 / $3,003.90	Facility		$1,651.40	$2,037.20	$3,003.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $178.36 / $178.36 / $514.26	Facility	AS	$178.36	$178.36	$514.26
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