Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $23,442.29	Facility		$3,548.13	$8,912.51	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $13,182.57	Facility		$66.07	$5,128.61	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,000.00	Professional		$575.44	$741.31	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,445.44	Professional		$602.56	$794.33	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	AS	$1,995.26	$1,995.26	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,380.38	Facility		$676.08	$891.25	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96