Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,309.57 / $16,595.87	Facility		$2,398.83	$6,309.57	$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 / $7,762.47	Facility		$66.07	$1,862.09	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $2,238.72	Facility		$537.03	$1,023.29	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $363.08	Professional		$199.53	$239.88	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $467.74	Professional		$162.18	$204.17	$467.74
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $28,840.32	Facility		$4,897.79	$4,897.79	$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
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	53	$977.24	$977.24	$977.24
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	62	$3,090.30	$3,090.30	$3,090.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	AS	$489.78	$489.78	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $288.40 / $537.03	Facility		$199.53	$288.40	$537.03
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