Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,368.00	Facility		$2,616.00	$9,006.00	$19,368.00
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 $3,677.00 / $3,677.00 / $3,677.00	Facility		$3,677.00	$3,677.00	$3,677.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.61 / $1,424.08 / $1,747.74	Professional		$1,294.61	$1,424.08	$1,747.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,053.77 / $1,462.01 / $2,822.27	Professional		$1,053.77	$1,462.01	$2,822.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,061.08 / $9,247.84	Facility		$55.00	$9,061.08	$9,247.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $221.16 / $520.29 / $565.88	Facility	AS	$221.16	$520.29	$565.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.05 / $1,449.85 / $1,951.16	Facility		$1,174.05	$1,449.85	$1,951.16
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $430.79 / $430.79 / $430.79	Facility	80	$430.79	$430.79	$430.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $127.13 / $127.13 / $366.17	Facility	AS	$127.13	$127.13	$366.17
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