Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,859.00 / $19,368.00	Facility		$2,387.00	$8,859.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,158.05 / $15,674.20	Facility		$97.00	$4,158.05	$15,674.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $5,980.00 / $5,980.00	Facility		$5,980.00	$5,980.00	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.17 / $1,338.89 / $1,643.18	Professional		$1,217.17	$1,338.89	$1,643.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $991.30 / $1,375.55 / $2,383.83	Professional		$991.30	$1,375.55	$2,383.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,847.78 / $5,749.75 / $5,749.75	Facility		$1,847.78	$5,749.75	$5,749.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.26 / $490.02 / $532.48	Facility	AS	$158.26	$490.02	$532.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,070.40 / $1,347.93 / $1,855.82	Facility		$1,070.40	$1,347.93	$1,855.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $119.75 / $119.75 / $344.77	Facility	AS	$119.75	$119.75	$344.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $21,278.00	Facility		$4,728.00	$9,758.00	$21,278.00