Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,665.00 / $21,073.50	Facility		$2,843.00	$9,665.00	$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 $1,128.28 / $1,550.92 / $2,807.78	Professional		$1,128.28	$1,550.92	$2,807.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $12,943.37 / $19,913.50	Facility		$5,897.00	$12,943.37	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $268.25 / $1,887.52 / $1,887.52	Facility	AS	$268.25	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.05 / $1,563.31 / $2,450.00	Facility		$1,258.05	$1,563.31	$2,450.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $140.11 / $140.11 / $400.57	Facility	AS	$140.11	$140.11	$400.57
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,904.00 / $33,317.00	Facility		$6,366.00	$13,904.00	$33,317.00