Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,912.51 / $25,703.96	Facility		$3,467.37	$8,912.51	$25,703.96
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 / $5,011.87 / $14,791.08	Facility		$66.07	$5,011.87	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility		$17,378.01	$17,378.01	$17,378.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,412.54	Professional		$724.44	$1,047.13	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,187.76	Professional		$851.14	$1,122.02	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $50,118.72	Facility		$33,884.42	$33,884.42	$50,118.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility	AS	$5,011.87	$5,011.87	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,949.84	Facility		$977.24	$1,258.93	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32