Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,782.00 / $19,368.00	Facility		$2,387.00	$8,782.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,366.65	Facility		$64.40	$100.00	$7,366.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,858.00 / $2,858.00 / $2,858.00	Facility		$2,858.00	$2,858.00	$2,858.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,095.89 / $1,479.45	Professional		$843.26	$1,095.89	$1,479.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.79 / $1,241.38 / $2,257.40	Professional		$893.79	$1,241.38	$2,257.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,622.08 / $6,758.04	Facility		$55.00	$6,622.08	$6,758.04
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $188.84 / $443.85 / $480.79	Facility	AS	$188.84	$443.85	$480.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.25 / $1,315.85 / $1,988.51	Facility		$1,023.25	$1,315.85	$1,988.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $108.42 / $108.42 / $313.20	Facility	AS	$108.42	$108.42	$313.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,313.00 / $26,451.00	Facility		$5,478.00	$12,313.00	$26,451.00