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 / $12,014.00 / $28,647.00	Facility		$3,585.00	$12,014.00	$28,647.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $17,447.57	Facility		$66.00	$100.00	$17,447.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22,895.00 / $28,076.08 / $50,000.00	Facility		$22,895.00	$28,076.08	$50,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,646.27 / $1,810.90 / $20,044.34	Professional		$1,646.27	$1,810.90	$20,044.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,342.67 / $1,863.84 / $3,342.15	Professional		$1,342.67	$1,863.84	$3,342.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,811.68 / $26,542.00 / $81,089.45	Facility		$10,811.68	$26,542.00	$81,089.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $327.31 / $7,686.13 / $7,686.13	Facility	AS	$327.31	$7,686.13	$7,686.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,495.48 / $1,871.75 / $2,772.00	Facility		$1,495.48	$1,871.75	$2,772.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $162.59 / $162.59 / $467.63	Facility	AS	$162.59	$162.59	$467.63
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $17,034.00 / $42,694.23	Facility		$8,822.00	$17,034.00	$42,694.23