Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,232.93 / $25,703.96	Facility		$4,897.79	$10,232.93	$25,703.96
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 / $16,982.44	Facility		$66.07	$4,073.80	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $977.24 / $1,318.26	Professional		$501.19	$977.24	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,041.74	Professional		$776.25	$1,000.00	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $33,884.42 / $33,884.42	Facility		$11,481.54	$33,884.42	$33,884.42
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 / $1,096.48 / $1,621.81	Facility		$831.76	$1,096.48	$1,621.81
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