Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.07 / $10,070.00 / $21,960.90	Facility		$1,862.07	$10,070.00	$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 / $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 $1,439.31 / $2,126.90 / $2,722.64	Professional		$1,439.31	$2,126.90	$2,722.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,801.40 / $2,463.66 / $4,581.18	Professional		$1,801.40	$2,463.66	$4,581.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $17,007.30 / $20,590.38	Facility		$5,000.00	$17,007.30	$20,590.38
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $390.11 / $919.64 / $960.23	Facility	AS	$390.11	$919.64	$960.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,026.48 / $2,442.44 / $3,648.00	Facility		$2,026.48	$2,442.44	$3,648.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $225.03 / $225.03 / $642.79	Facility	AS	$225.03	$225.03	$642.79
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