Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.53 / $9,674.00 / $21,960.90	Facility		$1,645.53	$9,674.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $12,567.00 / $28,170.00	Facility		$4,667.00	$12,567.00	$28,170.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $874.16 / $1,322.87 / $2,315.21	Professional		$874.16	$1,322.87	$2,315.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,533.63 / $2,130.04 / $3,940.54	Professional		$1,533.63	$2,130.04	$3,940.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $22,266.02 / $27,434.68	Facility		$5,897.00	$22,266.02	$27,434.68
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $330.91 / $778.25 / $825.94	Facility	AS	$330.91	$778.25	$825.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,707.02 / $2,086.60 / $2,869.07	Facility		$1,707.02	$2,086.60	$2,869.07
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $646.90 / $646.90 / $646.90	Facility	80	$646.90	$646.90	$646.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $190.74 / $190.74 / $549.86	Facility	AS	$190.74	$190.74	$549.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $27,818.00	Facility		$2,009.00	$5,123.00	$27,818.00