Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,851.24 / $7,830.00 / $21,960.90	Facility		$1,851.24	$7,830.00	$21,960.90
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 / $10,574.64	Facility		$66.00	$100.00	$10,574.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $17,638.24 / $31,590.87	Facility		$2,813.00	$17,638.24	$31,590.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $835.07 / $1,248.24 / $1,685.12	Professional		$835.07	$1,248.24	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.45 / $1,407.58 / $2,557.44	Professional		$1,013.45	$1,407.58	$2,557.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,068.89 / $26,542.00 / $50,942.85	Facility		$5,068.89	$26,542.00	$50,942.85
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $246.18 / $4,828.66 / $4,828.66	Facility	AS	$246.18	$4,828.66	$4,828.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.25 / $1,411.56 / $1,891.44	Facility		$1,129.25	$1,411.56	$1,891.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $122.40 / $122.40 / $352.20	Facility	AS	$122.40	$122.40	$352.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,312.00	Facility		$7,696.00	$13,784.00	$29,312.00