Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,879.00 / $21,355.00	Facility		$2,843.00	$9,879.00	$21,355.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $16,338.00 / $49,214.59	Facility		$5,540.00	$16,338.00	$49,214.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $11,539.24	Facility		$65.80	$100.00	$11,539.24
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 $1,689.87 / $2,315.59 / $3,126.05	Professional		$1,689.87	$2,315.59	$3,126.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,908.35 / $2,650.49 / $4,818.85	Professional		$1,908.35	$2,650.49	$4,818.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,398.96 / $34,326.74	Facility		$55.00	$33,398.96	$34,326.74
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $411.43 / $967.18 / $1,029.95	Facility	AS	$411.43	$967.18	$1,029.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,198.58 / $2,723.70 / $4,032.00	Facility		$2,198.58	$2,723.70	$4,032.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $805.83 / $805.83 / $805.83	Facility	80	$805.83	$805.83	$805.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $238.31 / $238.31 / $684.95	Facility	AS	$238.31	$238.31	$684.95
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00