Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $19,860.00	Facility		$2,616.00	$8,870.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,426.45	Facility		$64.40	$100.00	$8,426.45
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 $843.26 / $1,276.09 / $1,692.34	Professional		$843.26	$1,276.09	$1,692.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,086.39 / $1,528.00 / $2,821.35	Professional		$1,086.39	$1,528.00	$2,821.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,462.32 / $9,671.76	Facility		$55.00	$9,462.32	$9,671.76
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $230.90 / $543.30 / $591.36	Facility	AS	$230.90	$543.30	$591.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,229.14 / $1,543.51 / $2,119.50	Facility		$1,229.14	$1,543.51	$2,119.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $132.94 / $132.94 / $382.01	Facility	AS	$132.94	$132.94	$382.01
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