Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,232.93 / $23,988.33	Facility		$4,897.79	$10,232.93	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,754.40 / $22,908.68	Facility		$66.07	$5,754.40	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,230.27	Professional		$645.65	$891.25	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,862.09	Professional		$758.58	$977.24	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $50,118.72 / $50,118.72	Facility		$16,982.44	$50,118.72	$50,118.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	AS	$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,862.09	Facility		$977.24	$1,258.93	$1,862.09
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