Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,424.00 / $20,728.64	Facility		$2,616.00	$9,424.00	$20,728.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$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 $1,327.62 / $1,854.26 / $2,503.25	Professional		$1,327.62	$1,854.26	$2,503.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,558.96 / $2,144.87 / $3,922.72	Professional		$1,558.96	$2,144.87	$3,922.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $17,924.50 / $21,827.74	Facility		$5,000.00	$17,924.50	$21,827.74
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $337.13 / $794.30 / $833.70	Facility	AS	$337.13	$794.30	$833.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,743.09 / $2,126.65 / $2,978.72	Facility		$1,743.09	$2,126.65	$2,978.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $194.61 / $194.61 / $558.82	Facility	AS	$194.61	$194.61	$558.82
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