Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $10,615.43 / $23,981.00	Facility		$2,387.00	$10,615.43	$23,981.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,343.00 / $11,780.00 / $23,278.02	Facility		$5,343.00	$11,780.00	$23,278.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $13,360.00 / $14,932.00	Facility		$5,000.00	$13,360.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.51 / $2,096.88 / $2,516.26	Professional		$1,513.51	$2,096.88	$2,516.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,887.19 / $2,411.41 / $4,285.45	Professional		$1,887.19	$2,411.41	$4,285.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $12,650.00 / $19,828.25	Facility		$5,897.00	$12,650.00	$19,828.25
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,931.60 / $6,866.68 / $7,402.14	Facility	52	$2,931.60	$6,866.68	$7,402.14
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $366.45 / $858.34 / $925.27	Facility	AS	$366.45	$858.34	$925.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,889.33 / $2,358.94 / $3,361.87	Facility		$1,889.33	$2,358.94	$3,361.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $609.27 / $609.27 / $609.27	Facility	AS	$609.27	$609.27	$609.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00