Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,639.00 / $20,135.00	Facility		$2,843.00	$9,639.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,248.00 / $34,433.58	Facility		$3,222.00	$9,248.00	$34,433.58
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 $1,011.91 / $1,531.32 / $2,084.06	Professional		$1,011.91	$1,531.32	$2,084.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.07 / $1,916.76 / $3,453.58	Professional		$1,380.07	$1,916.76	$3,453.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $15,758.82 / $19,297.63	Facility		$2,000.00	$15,758.82	$19,297.63
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $296.76 / $699.84 / $742.52	Facility	AS	$296.76	$699.84	$742.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,551.05 / $1,898.05 / $2,557.50	Facility		$1,551.05	$1,898.05	$2,557.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $575.72 / $575.72 / $575.72	Facility	80	$575.72	$575.72	$575.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $171.46 / $171.46 / $489.36	Facility	AS	$171.46	$171.46	$489.36
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,312.00	Facility		$7,696.00	$13,722.00	$29,312.00