Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,171.25 / $10,321.00 / $21,960.90	Facility		$2,171.25	$10,321.00	$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 $1,089.34 / $1,648.51 / $3,111.50	Professional		$1,089.34	$1,648.51	$3,111.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,077.15 / $2,876.44 / $5,236.21	Professional		$2,077.15	$2,876.44	$5,236.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $19,495.25 / $23,769.27	Facility		$5,000.00	$19,495.25	$23,769.27
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $449.51 / $1,057.84 / $1,115.52	Facility	AS	$449.51	$1,057.84	$1,115.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,264.17 / $2,838.77 / $3,863.77	Facility		$2,264.17	$2,838.77	$3,863.77
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $257.88 / $257.88 / $734.10	Facility	AS	$257.88	$257.88	$734.10
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