Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,697.00 / $21,073.50	Facility		$3,089.46	$9,697.00	$21,073.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,008.00 / $34,433.58	Facility		$3,222.00	$9,008.00	$34,433.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,367.09	Facility		$64.40	$100.00	$5,367.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,453.00 / $4,453.00 / $4,453.00	Facility		$4,453.00	$4,453.00	$4,453.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $530.90 / $803.41 / $1,047.49	Professional		$530.90	$803.41	$1,047.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.05 / $943.10 / $1,709.80	Professional		$684.05	$943.10	$1,709.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $9,770.74 / $12,033.84	Facility		$5,000.00	$9,770.74	$12,033.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $144.97 / $342.12 / $368.52	Facility	AS	$144.97	$342.12	$368.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $774.66 / $940.33 / $1,276.41	Facility		$774.66	$940.33	$1,276.41
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $281.50 / $281.50 / $281.50	Facility	80	$281.50	$281.50	$281.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.44 / $83.44 / $239.27	Facility	AS	$83.44	$83.44	$239.27
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,078.00 / $28,973.00	Facility		$7,696.00	$13,078.00	$28,973.00