Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,858.00 / $20,135.00	Facility		$1,992.00	$7,858.00	$20,135.00
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 $1,028.29 / $1,392.53 / $1,879.92	Professional		$1,028.29	$1,392.53	$1,879.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,158.69 / $1,601.41 / $2,895.65	Professional		$1,158.69	$1,601.41	$2,895.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $16,883.30 / $20,564.59	Facility		$5,897.00	$16,883.30	$20,564.59
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $274.83 / $1,625.25 / $1,625.25	Facility	AS	$274.83	$1,625.25	$1,625.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,287.43 / $1,582.81 / $2,434.40	Facility		$1,287.43	$1,582.81	$2,434.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $143.87 / $143.87 / $410.08	Facility	AS	$143.87	$143.87	$410.08
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