Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,690.00 / $21,355.00	Facility		$2,843.00	$9,690.00	$21,355.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,445.00 / $9,030.00 / $17,774.00	Facility		$3,445.00	$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 $6,393.00 / $6,894.76 / $12,348.83	Facility		$6,393.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.26 / $1,622.90 / $2,190.92	Professional		$1,136.26	$1,622.90	$2,190.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.55 / $1,873.70 / $3,400.68	Professional		$1,350.55	$1,873.70	$3,400.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $19,913.50 / $30,000.00	Facility		$5,000.00	$19,913.50	$30,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $323.76 / $1,887.52 / $1,887.52	Facility	AS	$323.76	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,530.62 / $1,884.88 / $2,822.65	Facility		$1,530.62	$1,884.88	$2,822.65
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $569.41 / $569.41 / $569.41	Facility	80	$569.41	$569.41	$569.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $168.44 / $168.44 / $484.01	Facility	AS	$168.44	$168.44	$484.01
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