Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,871.00 / $21,355.00	Facility		$2,843.00	$9,871.00	$21,355.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $15,064.00 / $49,214.59	Facility		$4,667.00	$15,064.00	$49,214.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $7,159.08	Facility		$65.80	$100.00	$7,159.08
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 $823.53 / $1,246.24 / $2,459.23	Professional		$823.53	$1,246.24	$2,459.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,627.79 / $2,260.81 / $4,098.76	Professional		$1,627.79	$2,260.81	$4,098.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,314.49 / $22,841.72	Facility		$55.00	$22,314.49	$22,841.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $350.65 / $825.64 / $876.51	Facility	AS	$350.65	$825.64	$876.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,761.30 / $2,232.38 / $3,044.73	Facility		$1,761.30	$2,232.38	$3,044.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $202.55 / $202.55 / $584.37	Facility	AS	$202.55	$202.55	$584.37
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00