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 $3,765.00 / $11,711.00 / $34,930.00	Facility		$3,765.00	$11,711.00	$34,930.00
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 $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 $481.01 / $727.91 / $1,532.28	Professional		$481.01	$727.91	$1,532.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,009.85 / $1,399.28 / $2,522.69	Professional		$1,009.85	$1,399.28	$2,522.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $14,635.74 / $18,024.86	Facility		$5,000.00	$14,635.74	$18,024.86
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $217.17 / $511.52 / $544.66	Facility	AS	$217.17	$511.52	$544.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,146.68 / $1,392.05 / $2,000.55	Facility		$1,146.68	$1,392.05	$2,000.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $125.34 / $125.34 / $359.40	Facility	AS	$125.34	$125.34	$359.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00