Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,253.79 / $20,728.64	Facility		$2,616.00	$9,253.79	$20,728.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $9,644.00 / $18,544.00	Facility		$3,738.00	$9,644.00	$18,544.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $7,482.83	Facility		$65.80	$100.00	$7,482.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $4,340.00 / $4,340.00	Facility		$4,340.00	$4,340.00	$4,340.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.66 / $1,801.49 / $2,432.01	Professional		$1,356.66	$1,801.49	$2,432.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,512.86 / $2,083.25 / $3,748.71	Professional		$1,512.86	$2,083.25	$3,748.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $17,386.05 / $21,257.83	Facility		$5,000.00	$17,386.05	$21,257.83
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $327.00 / $770.53 / $809.38	Facility	AS	$327.00	$770.53	$809.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,689.92 / $2,065.67 / $2,893.87	Facility		$1,689.92	$2,065.67	$2,893.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $189.62 / $189.62 / $541.89	Facility	AS	$189.62	$189.62	$541.89
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