Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,011.00 / $22,330.11	Facility		$2,387.00	$8,011.00	$22,330.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,110.00 / $17,774.00	Facility		$2,776.00	$9,110.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,574.64	Facility		$66.00	$100.00	$10,574.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $17,648.34 / $31,608.99	Facility		$2,813.00	$17,648.34	$31,608.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $965.37 / $1,534.62 / $2,071.73	Professional		$965.37	$1,534.62	$2,071.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,224.80 / $1,723.02 / $3,100.00	Professional		$1,224.80	$1,723.02	$3,100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,934.20 / $26,542.00 / $50,972.05	Facility		$4,934.20	$26,542.00	$50,972.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $300.51 / $4,831.43 / $4,831.43	Facility	AS	$300.51	$4,831.43	$4,831.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,364.92 / $1,683.54 / $2,306.61	Facility		$1,364.92	$1,683.54	$2,306.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $149.31 / $149.31 / $432.57	Facility	AS	$149.31	$149.31	$432.57
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,312.00	Facility		$7,696.00	$13,784.00	$29,312.00