Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $10,471.29 / $28,840.32	Facility		$3,311.31	$10,471.29	$28,840.32
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 $63.10 / $100.00 / $12,022.64	Facility		$63.10	$100.00	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $15,488.17 / $25,703.96	Facility		$13,489.63	$15,488.17	$25,703.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $512.86	Professional		$257.04	$389.05	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $891.25	Professional		$354.81	$457.09	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $15,848.93 / $54,954.09	Facility		$54.95	$15,848.93	$54,954.09
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Facility	52	$43,651.58	$43,651.58	$43,651.58
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility	53	$10,964.78	$10,964.78	$10,964.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $602.56 / $1,000.00	Facility		$446.68	$602.56	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $20,417.38 / $50,118.72	Facility		$10,000.00	$20,417.38	$50,118.72