Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $20,728.64	Facility		$2,616.00	$9,006.00	$20,728.64
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 $6,500.00 / $10,000.00 / $10,000.00	Facility		$6,500.00	$10,000.00	$10,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,224.21 / $1,549.35	Professional		$819.06	$1,224.21	$1,549.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.56 / $1,382.73 / $2,461.51	Professional		$995.56	$1,382.73	$2,461.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $9,214.92 / $17,132.00	Facility		$5,897.00	$9,214.92	$17,132.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $242.65 / $1,625.25 / $1,625.25	Facility	AS	$242.65	$1,625.25	$1,625.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,112.85 / $1,380.93 / $2,124.50	Facility		$1,112.85	$1,380.93	$2,124.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $418.20 / $418.20 / $418.20	Facility	80	$418.20	$418.20	$418.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $123.07 / $123.07 / $355.47	Facility	AS	$123.07	$123.07	$355.47
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $14,186.00 / $33,317.00	Facility		$7,696.00	$14,186.00	$33,317.00