Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $22,908.68	Facility		$4,073.80	$10,000.00	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,698.24	Professional		$1,258.93	$1,380.38	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,691.53	Professional		$1,047.13	$1,258.93	$2,691.53
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 $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility	52	$8,912.51	$8,912.51	$8,912.51
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	AS	$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,511.89	Facility		$1,148.15	$1,548.82	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01