Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $21,877.62	Facility		$4,168.69	$10,471.29	$21,877.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $12,302.69	Facility		$66.07	$4,786.30	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,981.07	Facility		$3,890.45	$3,890.45	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,202.26	Professional		$776.25	$933.25	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,862.09	Professional		$741.31	$954.99	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $42,657.95	Facility		$11,481.54	$11,481.54	$42,657.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	AS	$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,659.59	Facility		$831.76	$1,071.52	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96