Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,912.51 / $19,952.62	Facility		$3,630.78	$8,912.51	$19,952.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $12,882.50	Facility		$66.07	$4,786.30	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,311.31	Facility		$2,818.38	$2,818.38	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $831.76	Professional		$426.58	$616.60	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,122.02	Professional		$512.86	$676.08	$1,122.02
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 $12,589.25 / $42,657.95 / $42,657.95	Facility		$12,589.25	$42,657.95	$42,657.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility	AS	$1,258.93	$1,258.93	$1,258.93
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 $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96