Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,595.87	Facility		$2,398.83	$6,456.54	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,862.09 / $5,754.40	Facility		$66.07	$1,862.09	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $2,238.72	Facility		$630.96	$1,096.48	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $371.54	Professional		$229.09	$257.04	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $575.44	Professional		$190.55	$234.42	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $28,840.32 / $28,840.32	Facility		$4,897.79	$28,840.32	$28,840.32
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	52	$3,890.45	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $549.54	Facility		$223.87	$323.59	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93