Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,694.04 / $9,867.32 / $21,960.90	Facility		$1,694.04	$9,867.32	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $11,289.00 / $26,404.93	Facility		$4,700.00	$11,289.00	$26,404.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $8,393.26	Facility		$63.90	$100.00	$8,393.26
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 $1,348.47 / $1,912.73 / $2,550.80	Professional		$1,348.47	$1,912.73	$2,550.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,597.33 / $2,210.06 / $3,983.10	Professional		$1,597.33	$2,210.06	$3,983.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $21,907.82 / $39,500.00	Facility		$5,000.00	$21,907.82	$39,500.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $345.20 / $812.47 / $856.97	Facility	AS	$345.20	$812.47	$856.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,810.31 / $2,218.51 / $3,238.20	Facility		$1,810.31	$2,218.51	$3,238.20
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $670.28 / $670.28 / $670.28	Facility	80	$670.28	$670.28	$670.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $199.12 / $199.12 / $569.74	Facility	AS	$199.12	$199.12	$569.74
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00