Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,709.64 / $22,387.21	Facility		$3,311.31	$8,709.64	$22,387.21
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 / $3,548.13 / $13,182.57	Facility		$66.07	$3,548.13	$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 $295.12 / $501.19 / $1,071.52	Professional		$295.12	$501.19	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,202.26	Professional		$398.11	$660.69	$1,202.26
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 $457.09 / $676.08 / $1,047.13	Facility		$457.09	$676.08	$1,047.13
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