Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $11,481.54 / $25,703.96	Facility		$3,162.28	$11,481.54	$25,703.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,570.88 / $10,000.00	Facility		$2,238.72	$4,570.88	$10,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $5,370.32 / $11,748.98	Facility		$93.33	$5,370.32	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,897.79 / $9,549.93	Facility		$630.96	$4,897.79	$9,549.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $562.34	Professional		$338.84	$416.87	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $912.01	Professional		$354.81	$426.58	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $16,218.10 / $16,218.10	Facility		$56.23	$16,218.10	$16,218.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AS	$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $524.81 / $851.14	Facility		$389.05	$524.81	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $12,589.25 / $37,153.52	Facility		$3,311.31	$12,589.25	$37,153.52