Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $9,120.11 / $33,884.42	Facility		$2,951.21	$9,120.11	$33,884.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,677.35 / $14,125.38	Facility		$66.07	$4,677.35	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $794.33 / $1,071.52	Professional		$380.19	$794.33	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,584.89	Professional		$630.96	$851.14	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $45,708.82	Facility		$26,302.68	$26,302.68	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	AS	$2,630.27	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $891.25 / $1,380.38	Facility		$691.83	$891.25	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32