Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,877.62	Facility		$4,168.69	$10,000.00	$21,877.62
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 / $5,888.44 / $16,595.87	Facility		$66.07	$5,888.44	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,258.93	Professional		$676.08	$933.25	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,995.26	Professional		$758.58	$977.24	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42,657.95 / $42,657.95 / $48,977.88	Facility		$42,657.95	$42,657.95	$48,977.88
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility	AS	$4,897.79	$4,897.79	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,698.24	Facility		$851.14	$1,122.02	$1,698.24
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