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 $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 $1,168.65 / $1,654.45 / $2,210.64	Professional		$1,168.65	$1,654.45	$2,210.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,386.41 / $1,901.61 / $3,447.55	Professional		$1,386.41	$1,901.61	$3,447.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $20,255.48 / $24,725.26	Facility		$5,897.00	$20,255.48	$24,725.26
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $329.67 / $1,625.25 / $1,625.25	Facility	AS	$329.67	$1,625.25	$1,625.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,546.61 / $1,896.84 / $2,892.43	Facility		$1,546.61	$1,896.84	$2,892.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $172.99 / $172.99 / $494.93	Facility	AS	$172.99	$172.99	$494.93
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