Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,762.47 / $18,620.87	Facility		$3,388.44	$7,762.47	$18,620.87
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility	AS	$7,762.47	$7,762.47	$7,762.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $9,332.54	Facility		$66.07	$4,073.80	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $8,511.38	Facility		$3,090.30	$3,090.30	$8,511.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,000.00	Professional		$537.03	$741.31	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,548.82	Professional		$602.56	$794.33	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,380.38	Facility		$676.08	$891.25	$1,380.38
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