Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $20,892.96	Facility		$3,981.07	$10,000.00	$20,892.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,754.40 / $15,135.61	Facility		$66.07	$5,754.40	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $1,047.13	Professional		$407.38	$776.25	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,513.56	Professional		$630.96	$831.76	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $42,657.95	Facility		$27,542.29	$27,542.29	$42,657.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $1,479.11	Facility		$707.95	$933.25	$1,479.11
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