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 / $21,073.50	Facility		$2,843.00	$9,665.00	$21,073.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,668.00 / $20,040.00 / $51,698.00	Facility		$5,668.00	$20,040.00	$51,698.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $8,337.77	Facility		$65.80	$100.00	$8,337.77
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 $1,284.44 / $1,850.59 / $2,429.67	Professional		$1,284.44	$1,850.59	$2,429.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,531.25 / $2,126.73 / $3,850.75	Professional		$1,531.25	$2,126.73	$3,850.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $30,548.80 / $31,243.20	Facility		$55.00	$30,548.80	$31,243.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $329.98 / $776.74 / $824.61	Facility	AS	$329.98	$776.74	$824.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,736.01 / $2,135.19 / $3,122.00	Facility		$1,736.01	$2,135.19	$3,122.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $190.33 / $190.33 / $539.60	Facility	AS	$190.33	$190.33	$539.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $43,423.00	Facility		$8,830.00	$18,315.00	$43,423.00