Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.97 / $9,639.00 / $21,960.90	Facility		$1,480.97	$9,639.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,653.00 / $11,222.00 / $26,030.80	Facility		$4,653.00	$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 $1,137.00 / $1,702.07 / $2,150.78	Professional		$1,137.00	$1,702.07	$2,150.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,422.86 / $1,966.45 / $3,542.59	Professional		$1,422.86	$1,966.45	$3,542.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $13,349.88 / $16,278.30	Facility		$5,000.00	$13,349.88	$16,278.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $307.17 / $723.76 / $762.69	Facility	AS	$307.17	$723.76	$762.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,610.53 / $1,950.58 / $2,902.81	Facility		$1,610.53	$1,950.58	$2,902.81
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $177.02 / $177.02 / $506.51	Facility	AS	$177.02	$177.02	$506.51
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00