Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,943.28 / $23,988.33	Facility		$3,162.28	$7,943.28	$23,988.33
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 / $5,128.61 / $13,489.63	Facility		$66.07	$5,128.61	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $741.31 / $1,445.44	Professional		$380.19	$741.31	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,621.81	Professional		$602.56	$891.25	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $33,884.42 / $33,884.42	Facility		$28,840.32	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	AS	$2,884.03	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $1,445.44	Facility		$645.65	$933.25	$1,445.44
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