Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.33 / $9,885.00 / $21,960.90	Facility		$1,687.33	$9,885.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,222.00 / $26,030.80	Facility		$4,314.00	$11,222.00	$26,030.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
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 $1,275.50 / $1,926.33 / $2,412.77	Professional		$1,275.50	$1,926.33	$2,412.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,619.00 / $2,229.19 / $4,078.25	Professional		$1,619.00	$2,229.19	$4,078.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $18,680.31 / $22,744.04	Facility		$5,000.00	$18,680.31	$22,744.04
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $351.18 / $827.45 / $867.18	Facility	AS	$351.18	$827.45	$867.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,820.99 / $2,209.87 / $3,234.20	Facility		$1,820.99	$2,209.87	$3,234.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $202.96 / $202.96 / $580.77	Facility	AS	$202.96	$202.96	$580.77
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