Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,934.00 / $19,958.75	Facility		$2,616.00	$8,934.00	$19,958.75
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 / $5,844.50	Facility		$64.40	$100.00	$5,844.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,273.00 / $4,273.00 / $4,273.00	Facility		$4,273.00	$4,273.00	$4,273.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $893.56 / $1,369.99	Professional		$590.47	$893.56	$1,369.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.21 / $1,237.79 / $2,285.71	Professional		$880.21	$1,237.79	$2,285.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,480.10 / $5,530.75	Facility		$55.00	$5,480.10	$5,530.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.26 / $440.52 / $479.09	Facility	AS	$187.26	$440.52	$479.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,001.30 / $1,255.49 / $1,652.02	Facility		$1,001.30	$1,255.49	$1,652.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $106.37 / $106.37 / $311.79	Facility	AS	$106.37	$106.37	$311.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,341.00 / $26,451.00	Facility		$5,830.00	$12,341.00	$26,451.00