Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,774.00 / $19,368.00	Facility		$2,387.00	$8,774.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,798.18	Facility		$66.00	$100.00	$11,798.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $8,839.40 / $15,831.77	Facility		$3,203.00	$8,839.40	$15,831.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $944.53 / $1,479.32 / $1,997.08	Professional		$944.53	$1,479.32	$1,997.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,191.11 / $1,667.64 / $2,988.02	Professional		$1,191.11	$1,667.64	$2,988.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,206.24 / $25,530.00 / $26,542.00	Facility		$7,206.24	$25,530.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $291.42 / $2,419.88 / $2,419.88	Facility	AS	$291.42	$2,419.88	$2,419.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,327.53 / $1,652.09 / $2,241.01	Facility		$1,327.53	$1,652.09	$2,241.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $486.94 / $486.94 / $486.94	Facility	80	$486.94	$486.94	$486.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $144.51 / $144.51 / $413.90	Facility	AS	$144.51	$144.51	$413.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00