Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,912.51 / $22,387.21	Facility		$3,630.78	$8,912.51	$22,387.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $12,302.69	Facility		$66.07	$4,786.30	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,466.84	Facility		$3,801.89	$3,801.89	$4,466.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,174.90	Professional		$616.60	$758.58	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,479.11	Professional		$645.65	$831.76	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $33,884.42 / $33,884.42	Facility		$16,982.44	$33,884.42	$33,884.42
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 $741.31 / $977.24 / $1,584.89	Facility		$741.31	$977.24	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $29,512.09	Facility		$7,762.47	$14,125.38	$29,512.09