Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $22,908.68	Facility		$3,981.07	$10,000.00	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,570.88 / $12,302.69	Facility		$66.07	$4,570.88	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,995.26 / $5,011.87	Facility		$758.58	$1,995.26	$5,011.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $831.76	Professional		$371.54	$616.60	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,288.25	Professional		$512.86	$630.96	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $83.18 / $83.18 / $104.71	Professional	AS	$83.18	$83.18	$104.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $42,657.95	Facility		$9,549.93	$9,549.93	$42,657.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	AS	$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $741.31 / $1,174.90	Facility		$549.54	$741.31	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,549.93 / $20,892.96	Facility		$4,265.80	$9,549.93	$20,892.96