Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $10,077.00 / $19,951.00	Facility		$3,028.00	$10,077.00	$19,951.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,628.65	Facility		$66.00	$100.00	$10,628.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $27,878.45 / $49,931.56	Facility		$2,813.00	$27,878.45	$49,931.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.49 / $1,409.10 / $2,219.79	Professional		$1,173.49	$1,409.10	$2,219.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,147.86 / $1,592.94 / $2,855.82	Professional		$1,147.86	$1,592.94	$2,855.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,916.20 / $26,542.00 / $80,518.70	Facility		$6,916.20	$26,542.00	$80,518.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $279.16 / $7,632.03 / $7,632.03	Facility	AS	$279.16	$7,632.03	$7,632.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,298.09 / $1,690.92 / $2,431.16	Facility		$1,298.09	$1,690.92	$2,431.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $139.02 / $139.02 / $399.70	Facility	AS	$139.02	$139.02	$399.70
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,797.00 / $32,191.00	Facility		$7,696.00	$13,797.00	$32,191.00