Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,631.00 / $18,681.00	Facility		$1,956.72	$7,631.00	$18,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,110.00 / $17,774.00	Facility		$2,776.00	$9,110.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,052.99	Facility		$66.00	$100.00	$11,052.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $17,677.57 / $31,661.32	Facility		$2,813.00	$17,677.57	$31,661.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,259.54 / $1,700.38	Professional		$843.26	$1,259.54	$1,700.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,018.83 / $1,414.17 / $2,568.59	Professional		$1,018.83	$1,414.17	$2,568.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,080.10 / $26,542.00 / $51,056.45	Facility		$6,080.10	$26,542.00	$51,056.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $246.36 / $4,839.43 / $4,839.43	Facility	AS	$246.36	$4,839.43	$4,839.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,130.78 / $1,408.83 / $2,025.00	Facility		$1,130.78	$1,408.83	$2,025.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $122.06 / $122.06 / $350.12	Facility	AS	$122.06	$122.06	$350.12
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,312.00	Facility		$7,212.00	$13,722.00	$29,312.00