Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,585.78 / $19,054.61	Facility		$3,235.94	$7,585.78	$19,054.61
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 / $10,964.78	Facility		$66.07	$4,168.69	$10,964.78
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 $426.58 / $1,122.02 / $1,513.56	Professional		$426.58	$1,122.02	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,344.23	Professional		$912.01	$1,202.26	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $45,708.82	Facility		$19,952.62	$19,952.62	$45,708.82
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 $1,000.00 / $1,288.25 / $2,089.30	Facility		$1,000.00	$1,288.25	$2,089.30
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