Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,833.00 / $22,788.00	Facility		$3,089.46	$9,833.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,916.00 / $13,349.00 / $41,473.83	Facility		$4,916.00	$13,349.00	$41,473.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $10,501.96	Facility		$64.40	$100.00	$10,501.96
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 $1,880.09 / $2,068.10 / $2,538.12	Professional		$1,880.09	$2,068.10	$2,538.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,536.57 / $2,146.26 / $3,944.53	Professional		$1,536.57	$2,146.26	$3,944.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,119.08 / $17,475.84	Facility		$55.00	$17,119.08	$17,475.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $325.75 / $765.24 / $826.78	Facility	AS	$325.75	$765.24	$826.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,740.59 / $2,174.96 / $3,309.36	Facility		$1,740.59	$2,174.96	$3,309.36
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $635.08 / $635.08 / $635.08	Facility	80	$635.08	$635.08	$635.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $187.01 / $187.01 / $539.82	Facility	AS	$187.01	$187.01	$539.82
United Facility/Professional Facility Modifier Low / Median / High Price $9,252.00 / $18,330.00 / $42,098.00	Facility		$9,252.00	$18,330.00	$42,098.00