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 / $21,355.00	Facility		$2,843.00	$9,665.00	$21,355.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,254.00 / $16,253.00 / $49,214.59	Facility		$5,254.00	$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 $1,034.61 / $1,532.22 / $1,957.11	Professional		$1,034.61	$1,532.22	$1,957.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,254.67 / $1,742.60 / $3,166.69	Professional		$1,254.67	$1,742.60	$3,166.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,819.56 / $22,264.76	Facility		$55.00	$21,819.56	$22,264.76
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $268.26 / $631.87 / $677.22	Facility	AS	$268.26	$631.87	$677.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,425.72 / $1,753.35 / $2,660.38	Facility		$1,425.72	$1,753.35	$2,660.38
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $154.35 / $154.35 / $440.00	Facility	AS	$154.35	$154.35	$440.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $17,861.00 / $42,098.00	Facility		$8,822.00	$17,861.00	$42,098.00