Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.74 / $10,321.00 / $22,788.00	Facility		$1,972.74	$10,321.00	$22,788.00
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 / $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 $1,519.36 / $2,242.87 / $2,874.05	Professional		$1,519.36	$2,242.87	$2,874.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,902.73 / $2,599.03 / $4,836.05	Professional		$1,902.73	$2,599.03	$4,836.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $21,970.52 / $26,682.04	Facility		$5,000.00	$21,970.52	$26,682.04
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $412.35 / $971.87 / $1,013.65	Facility	AS	$412.35	$971.87	$1,013.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,145.82 / $2,586.82 / $3,609.78	Facility		$2,145.82	$2,586.82	$3,609.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $238.75 / $238.75 / $680.91	Facility	AS	$238.75	$238.75	$680.91
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