Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,000.00 / $22,908.68	Facility		$3,630.78	$10,000.00	$22,908.68
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 / $4,466.84 / $12,022.64	Facility		$66.07	$4,466.84	$12,022.64
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 $426.58 / $851.14 / $1,148.15	Professional		$426.58	$851.14	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,698.24	Professional		$660.69	$870.96	$1,698.24
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 $707.95 / $933.25 / $1,380.38	Facility		$707.95	$933.25	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $13,803.84	Facility		$2,344.23	$4,466.84	$13,803.84