Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,349.87 / $9,639.00 / $20,509.00	Facility		$2,349.87	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $13,318.00 / $40,888.00	Facility		$4,446.00	$13,318.00	$40,888.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,767.90	Facility		$64.40	$100.00	$7,767.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,000.00 / $20,814.00 / $25,978.00	Facility		$11,000.00	$20,814.00	$25,978.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.44 / $1,294.76 / $1,747.93	Professional		$1,042.44	$1,294.76	$1,747.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,053.20 / $1,462.78 / $2,658.46	Professional		$1,053.20	$1,462.78	$2,658.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,071.09 / $9,255.95	Facility		$55.00	$9,071.09	$9,255.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $221.45 / $520.90 / $566.23	Facility	AS	$221.45	$520.90	$566.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,175.94 / $1,475.26 / $2,231.52	Facility		$1,175.94	$1,475.26	$2,231.52
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $430.92 / $430.92 / $430.92	Facility	80	$430.92	$430.92	$430.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $127.24 / $127.24 / $366.28	Facility	AS	$127.24	$127.24	$366.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00