Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,946.05 / $10,321.00 / $21,960.90	Facility		$1,946.05	$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 $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 $1,581.16 / $2,213.56 / $2,988.31	Professional		$1,581.16	$2,213.56	$2,988.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,880.77 / $2,566.07 / $4,700.51	Professional		$1,880.77	$2,566.07	$4,700.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $21,730.28 / $26,294.51	Facility		$5,000.00	$21,730.28	$26,294.51
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $407.88 / $961.12 / $1,001.40	Facility	AS	$407.88	$961.12	$1,001.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,095.15 / $2,548.16 / $3,557.31	Facility		$2,095.15	$2,548.16	$3,557.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $235.29 / $235.29 / $672.39	Facility	AS	$235.29	$235.29	$672.39
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