Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,276.00 / $21,960.90	Facility		$2,616.00	$9,276.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $11,276.00 / $22,145.00	Facility		$4,204.00	$11,276.00	$22,145.00
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 $1,042.44 / $1,317.38 / $1,778.46	Professional		$1,042.44	$1,317.38	$1,778.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,089.91 / $1,505.71 / $2,664.22	Professional		$1,089.91	$1,505.71	$2,664.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $10,177.37 / $17,132.00	Facility		$5,897.00	$10,177.37	$17,132.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $260.83 / $1,625.25 / $1,625.25	Facility	AS	$260.83	$1,625.25	$1,625.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,229.20 / $1,505.49 / $2,300.66	Facility		$1,229.20	$1,505.49	$2,300.66
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $456.49 / $456.49 / $456.49	Facility	80	$456.49	$456.49	$456.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $135.37 / $135.37 / $388.02	Facility	AS	$135.37	$135.37	$388.02
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $14,465.00 / $33,575.00	Facility		$7,696.00	$14,465.00	$33,575.00