Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,709.64 / $19,952.62	Facility		$3,630.78	$8,709.64	$19,952.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $10,964.78	Facility		$66.07	$3,890.45	$10,964.78
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 $234.42 / $562.34 / $758.58	Professional		$234.42	$562.34	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,122.02	Professional		$446.68	$588.84	$1,122.02
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 $478.63 / $630.96 / $954.99	Facility		$478.63	$630.96	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61