Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,943.28 / $22,908.68	Facility		$2,951.21	$7,943.28	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $11,748.98	Facility		$66.07	$4,168.69	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,479.11	Professional		$831.76	$1,071.52	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,238.72	Professional		$870.96	$1,148.15	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $25,703.96 / $45,708.82	Facility		$25,703.96	$25,703.96	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility	AS	$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,905.46	Facility		$977.24	$1,288.25	$1,905.46
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