Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,639.00 / $21,073.50	Facility		$2,843.00	$9,639.00	$21,073.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $9,830.00 / $20,341.00	Facility		$3,145.00	$9,830.00	$20,341.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,674.20	Facility		$66.00	$100.00	$15,674.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $6,906.96 / $12,348.83	Facility		$4,340.00	$6,906.96	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,429.63 / $2,253.60	Professional		$1,191.35	$1,429.63	$2,253.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.06 / $1,542.83 / $2,786.43	Professional		$1,123.06	$1,542.83	$2,786.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $12,887.49 / $19,913.50	Facility		$5,897.00	$12,887.49	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $266.77 / $1,887.52 / $1,887.52	Facility	AS	$266.77	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,257.35 / $1,550.36 / $2,450.00	Facility		$1,257.35	$1,550.36	$2,450.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $471.39 / $471.39 / $471.39	Facility	80	$471.39	$471.39	$471.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $139.58 / $139.58 / $400.68	Facility	AS	$139.58	$139.58	$400.68
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $14,186.00 / $33,317.00	Facility		$6,385.00	$14,186.00	$33,317.00