Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.08 / $10,088.00 / $21,960.90	Facility		$1,908.08	$10,088.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,289.00 / $26,404.93	Facility		$4,446.00	$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 $1,527.92 / $2,112.81 / $2,852.29	Professional		$1,527.92	$2,112.81	$2,852.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,753.43 / $2,435.31 / $4,372.63	Professional		$1,753.43	$2,435.31	$4,372.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $16,370.82 / $20,256.48	Facility		$5,000.00	$16,370.82	$20,256.48
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $379.40 / $890.73 / $944.09	Facility	AS	$379.40	$890.73	$944.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,993.69 / $2,439.79 / $3,405.52	Facility		$1,993.69	$2,439.79	$3,405.52
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $218.70 / $218.70 / $634.05	Facility	AS	$218.70	$218.70	$634.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,108.00 / $17,464.00	Facility		$1,919.00	$6,108.00	$17,464.00