Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.77 / $10,321.00 / $22,788.00	Facility		$1,888.77	$10,321.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,770.00 / $12,800.00 / $25,103.02	Facility		$5,770.00	$12,800.00	$25,103.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $11,729.10	Facility		$64.20	$100.00	$11,729.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,684.00 / $13,360.00 / $14,932.00	Facility		$11,684.00	$13,360.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,593.06 / $2,151.96 / $2,582.36	Professional		$1,593.06	$2,151.96	$2,582.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,936.77 / $2,475.23 / $4,400.20	Professional		$1,936.77	$2,475.23	$4,400.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,534.34 / $15,825.95	Facility		$55.00	$12,534.34	$15,825.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $376.50 / $881.80 / $950.04	Facility	AS	$376.50	$881.80	$950.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,897.63 / $2,422.03 / $3,443.15	Facility		$1,897.63	$2,422.03	$3,443.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $626.53 / $626.53 / $626.53	Facility	AS	$626.53	$626.53	$626.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00