Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $21,379.62	Facility		$4,466.84	$10,232.93	$21,379.62
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 $61.66 / $100.00 / $9,332.54	Facility		$61.66	$100.00	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $23,988.33 / $28,840.32	Facility		$20,417.38	$23,988.33	$28,840.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,995.26	Professional		$1,230.27	$1,479.11	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,162.28	Professional		$1,202.26	$1,621.81	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,197.01	Facility		$54.95	$56.23	$18,197.01
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility	52	$14,791.08	$14,791.08	$14,791.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	AS	$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,090.30	Facility		$1,412.54	$1,862.09	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $18,197.01 / $39,810.72	Facility		$9,772.37	$18,197.01	$39,810.72