Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,709.64 / $19,952.62	Facility		$3,548.13	$8,709.64	$19,952.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $10,964.78	Facility		$66.07	$4,073.80	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $660.69	Professional		$251.19	$489.78	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,000.00	Professional		$398.11	$524.81	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $588.84 / $870.96	Facility		$436.52	$588.84	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96