Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,595.87	Facility		$1,737.80	$6,025.60	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $7,079.46	Facility		$66.07	$2,570.40	$7,079.46
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 $288.40 / $426.58 / $575.44	Professional		$288.40	$426.58	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $812.83	Professional		$346.74	$457.09	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $19,498.45	Facility		$8,912.51	$8,912.51	$19,498.45
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 $380.19 / $512.86 / $794.33	Facility		$380.19	$512.86	$794.33
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