Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,665.00 / $21,355.00	Facility		$2,843.00	$9,665.00	$21,355.00
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 / $2,142.36	Professional		$1,011.91	$1,531.32	$2,142.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,409.48 / $1,957.61 / $3,545.13	Professional		$1,409.48	$1,957.61	$3,545.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $16,048.56 / $19,683.73	Facility		$2,000.00	$16,048.56	$19,683.73
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $302.32 / $713.31 / $760.25	Facility	AS	$302.32	$713.31	$760.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,557.59 / $1,935.54 / $2,534.02	Facility		$1,557.59	$1,935.54	$2,534.02
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $583.94 / $583.94 / $583.94	Facility	80	$583.94	$583.94	$583.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $174.63 / $174.63 / $496.35	Facility	AS	$174.63	$174.63	$496.35
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