Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $8,317.64 / $18,620.87	Facility		$3,090.30	$8,317.64	$18,620.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,317.64 / $15,848.93	Facility		$4,677.35	$8,317.64	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $10,715.19	Facility		$66.07	$3,890.45	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $1,621.81	Professional		$263.03	$398.11	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,511.89	Professional		$977.24	$1,288.25	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $45,708.82 / $47,863.01	Facility		$45,708.82	$45,708.82	$47,863.01
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility	AS	$4,786.30	$4,786.30	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,318.26 / $2,089.30	Facility		$602.56	$1,318.26	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $21,379.62	Facility		$5,370.32	$10,000.00	$21,379.62