Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,934.00 / $21,960.90	Facility		$2,421.00	$8,934.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $24,218.61	Facility		$4,314.00	$11,098.00	$24,218.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,431.40	Facility		$64.40	$100.00	$7,431.40
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 $902.46 / $1,363.79 / $1,707.11	Professional		$902.46	$1,363.79	$1,707.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,109.51 / $1,540.99 / $2,762.63	Professional		$1,109.51	$1,540.99	$2,762.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,557.79 / $9,760.45	Facility		$55.00	$9,557.79	$9,760.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $233.32 / $548.76 / $596.48	Facility	AS	$233.32	$548.76	$596.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,237.85 / $1,545.99 / $2,186.64	Facility		$1,237.85	$1,545.99	$2,186.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $454.43 / $454.43 / $454.43	Facility	80	$454.43	$454.43	$454.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $134.18 / $134.18 / $386.27	Facility	AS	$134.18	$134.18	$386.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00