Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,674.00 / $21,960.90	Facility		$2,645.00	$9,674.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,276.00 / $22,145.00	Facility		$3,585.00	$11,276.00	$22,145.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,668.76	Facility		$66.00	$100.00	$15,668.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $6,906.96 / $12,348.83	Facility		$4,445.00	$6,906.96	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,136.66 / $1,534.49	Professional		$759.12	$1,136.66	$1,534.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.77 / $1,276.99 / $2,287.80	Professional		$919.77	$1,276.99	$2,287.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.16 / $19,913.50 / $26,542.00	Facility		$5,495.16	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $222.37 / $1,887.52 / $1,887.52	Facility	AS	$222.37	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,024.61 / $1,297.83 / $1,854.62	Facility		$1,024.61	$1,297.83	$1,854.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $110.09 / $110.09 / $316.16	Facility	AS	$110.09	$110.09	$316.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.45 / $12,313.00 / $26,109.00	Facility		$6,087.45	$12,313.00	$26,109.00