Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,639.00 / $21,073.50	Facility		$2,843.00	$9,639.00	$21,073.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,486.00 / $16,253.00 / $49,214.59	Facility		$5,486.00	$16,253.00	$49,214.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $7,386.46	Facility		$65.80	$100.00	$7,386.46
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 $1,125.08 / $1,678.18 / $2,128.25	Professional		$1,125.08	$1,678.18	$2,128.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,390.78 / $1,917.58 / $3,501.98	Professional		$1,390.78	$1,917.58	$3,501.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,993.25 / $19,407.96	Facility		$55.00	$18,993.25	$19,407.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $298.98 / $705.44 / $747.76	Facility	AS	$298.98	$705.44	$747.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,555.00 / $1,919.05 / $2,927.18	Facility		$1,555.00	$1,919.05	$2,927.18
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $578.54 / $578.54 / $578.54	Facility	80	$578.54	$578.54	$578.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $172.62 / $172.62 / $491.76	Facility	AS	$172.62	$172.62	$491.76
United Facility/Professional Facility Modifier Low / Median / High Price $9,103.00 / $17,163.00 / $38,057.00	Facility		$9,103.00	$17,163.00	$38,057.00