Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $22,908.68	Facility		$3,715.35	$10,000.00	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $741.31 / $5,888.44	Facility		$66.07	$741.31	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $1,288.25	Facility		$446.68	$724.44	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.50 / $28.84	Professional		$17.78	$19.50	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.20 / $83.18	Professional		$14.79	$18.20	$83.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,884.03	Facility		$54.95	$56.23	$2,884.03
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	52	$2,290.87	$2,290.87	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.18 / $54.95	Facility		$18.20	$28.18	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $9,549.93	Facility		$1,778.28	$4,168.69	$9,549.93