Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,212.55 / $10,321.00 / $21,960.90	Facility		$2,212.55	$10,321.00	$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 / $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 $1,089.34 / $1,648.51 / $3,127.75	Professional		$1,089.34	$1,648.51	$3,127.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,092.44 / $2,893.75 / $5,362.65	Professional		$2,092.44	$2,893.75	$5,362.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $24,107.38 / $29,528.18	Facility		$5,000.00	$24,107.38	$29,528.18
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $454.16 / $1,069.21 / $1,124.02	Facility	AS	$454.16	$1,069.21	$1,124.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,279.15 / $2,859.68 / $3,863.77	Facility		$2,279.15	$2,859.68	$3,863.77
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $262.88 / $262.88 / $753.43	Facility	AS	$262.88	$262.88	$753.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00