Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,844.69 / $7,000.00 / $17,809.00	Facility		$1,844.69	$7,000.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,139.12 / $24,548.00	Facility		$4,446.00	$11,139.12	$24,548.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,114.52	Facility		$64.40	$100.00	$8,114.52
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 $1,027.55 / $1,554.98 / $2,866.59	Professional		$1,027.55	$1,554.98	$2,866.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,860.62 / $2,608.66 / $4,824.81	Professional		$1,860.62	$2,608.66	$4,824.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,995.00 / $14,275.68	Facility		$55.00	$13,995.00	$14,275.68
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $399.90 / $938.87 / $1,011.29	Facility	AS	$399.90	$938.87	$1,011.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $2,477.21 / $3,325.24	Facility		$1,540.00	$2,477.21	$3,325.24
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $229.28 / $229.28 / $662.56	Facility	AS	$229.28	$229.28	$662.56
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