Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,029.39 / $20,509.00	Facility		$2,616.00	$9,029.39	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,030.00 / $17,774.00	Facility		$3,294.00	$9,030.00	$17,774.00
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 $5,980.00 / $6,894.76 / $12,348.83	Facility		$5,980.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.80 / $1,754.65 / $2,496.57	Professional		$1,319.80	$1,754.65	$2,496.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,473.72 / $2,029.38 / $3,762.07	Professional		$1,473.72	$2,029.38	$3,762.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $18,144.09 / $20,662.07	Facility		$5,000.00	$18,144.09	$20,662.07
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $350.08 / $1,887.52 / $1,887.52	Facility	AS	$350.08	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,670.22 / $2,042.32 / $3,086.27	Facility		$1,670.22	$2,042.32	$3,086.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $620.04 / $620.04 / $620.04	Facility	80	$620.04	$620.04	$620.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $184.10 / $184.10 / $527.04	Facility	AS	$184.10	$184.10	$527.04
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $14,160.00 / $33,317.00	Facility		$7,212.00	$14,160.00	$33,317.00