Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,665.00 / $21,073.50	Facility		$3,089.46	$9,665.00	$21,073.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,990.00 / $14,879.00 / $35,464.00	Facility		$4,990.00	$14,879.00	$35,464.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $12,021.87	Facility		$66.70	$100.00	$12,021.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $17,628.12 / $31,572.76	Facility		$8,500.00	$17,628.12	$31,572.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.39 / $1,399.33 / $2,049.38	Professional		$1,083.39	$1,399.33	$2,049.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.61 / $1,600.86 / $2,878.79	Professional		$1,152.61	$1,600.86	$2,878.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,000.00 / $42,000.00 / $50,913.65	Facility		$7,000.00	$42,000.00	$50,913.65
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $276.56 / $4,825.89 / $4,825.89	Facility	AS	$276.56	$4,825.89	$4,825.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,319.95 / $1,661.10 / $2,483.27	Facility		$1,319.95	$1,661.10	$2,483.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $480.26 / $480.26 / $480.26	Facility	80	$480.26	$480.26	$480.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $142.94 / $142.94 / $408.22	Facility	AS	$142.94	$142.94	$408.22
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,904.00 / $29,312.00	Facility		$7,212.00	$13,904.00	$29,312.00