Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,608.00 / $21,073.50	Facility		$2,421.00	$9,608.00	$21,073.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,780.00 / $28,647.00	Facility		$3,585.00	$11,780.00	$28,647.00
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 $8,500.00 / $8,500.00 / $8,500.00	Facility		$8,500.00	$8,500.00	$8,500.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.72 / $1,702.03 / $2,134.28	Professional		$1,124.72	$1,702.03	$2,134.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,421.60 / $1,956.90 / $3,557.20	Professional		$1,421.60	$1,956.90	$3,557.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,000.00 / $13,324.50 / $16,256.07	Facility		$11,000.00	$13,324.50	$16,256.07
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $306.64 / $722.70 / $763.43	Facility	AS	$306.64	$722.70	$763.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,607.22 / $1,975.44 / $2,909.43	Facility		$1,607.22	$1,975.44	$2,909.43
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $603.34 / $603.34 / $603.34	Facility	80	$603.34	$603.34	$603.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $176.68 / $176.68 / $512.84	Facility	AS	$176.68	$176.68	$512.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $42,098.00	Facility		$8,830.00	$18,315.00	$42,098.00