Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,276.00 / $19,368.00	Facility		$2,421.00	$9,276.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,263.42	Facility		$64.40	$100.00	$8,263.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.29 / $1,478.93 / $2,324.48	Professional		$977.29	$1,478.93	$2,324.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,502.38 / $2,110.44 / $3,883.80	Professional		$1,502.38	$2,110.44	$3,883.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,455.08 / $24,950.90	Facility		$55.00	$24,455.08	$24,950.90
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $322.14 / $756.76 / $817.70	Facility	AS	$322.14	$756.76	$817.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,688.36 / $2,069.30 / $2,982.03	Facility		$1,688.36	$2,069.30	$2,982.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $184.84 / $184.84 / $533.26	Facility	AS	$184.84	$184.84	$533.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,341.00 / $26,451.00	Facility		$5,478.00	$12,341.00	$26,451.00