Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $8,937.50 / $27,860.00	Facility		$2,843.00	$8,937.50	$27,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $11,723.00 / $22,417.00	Facility		$4,644.00	$11,723.00	$22,417.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $11,052.99	Facility		$66.90	$100.00	$11,052.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $6,894.76 / $12,348.83	Facility		$5,980.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $884.58 / $1,167.10 / $4,922.37	Professional		$884.58	$1,167.10	$4,922.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $948.47 / $1,317.31 / $2,431.46	Professional		$948.47	$1,317.31	$2,431.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $4,749.50 / $19,913.50	Facility		$1,400.00	$4,749.50	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $230.71 / $1,887.52 / $1,887.52	Facility	AS	$230.71	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,041.83 / $1,300.82 / $1,773.45	Facility		$1,041.83	$1,300.82	$1,773.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $114.08 / $114.08 / $330.57	Facility	AS	$114.08	$114.08	$330.57
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,007.00 / $28,973.00	Facility		$7,696.00	$13,007.00	$28,973.00