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 $5,254.00 / $16,338.00 / $49,214.59	Facility		$5,254.00	$16,338.00	$49,214.59
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 $1,193.97 / $1,751.76 / $2,258.54	Professional		$1,193.97	$1,751.76	$2,258.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,454.88 / $2,003.65 / $3,639.89	Professional		$1,454.88	$2,003.65	$3,639.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,292.54 / $25,826.78	Facility		$55.00	$25,292.54	$25,826.78
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $313.02 / $738.44 / $781.58	Facility	AS	$313.02	$738.44	$781.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,632.91 / $2,004.43 / $3,059.74	Facility		$1,632.91	$2,004.43	$3,059.74
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $605.27 / $605.27 / $605.27	Facility	80	$605.27	$605.27	$605.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $180.56 / $180.56 / $514.48	Facility	AS	$180.56	$180.56	$514.48
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $43,423.00	Facility		$8,830.00	$18,191.00	$43,423.00