Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $22,908.68	Facility		$3,715.35	$10,471.29	$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 / $3,090.30 / $9,549.93	Facility		$66.07	$3,090.30	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Facility		$2,454.71	$2,454.71	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $912.01	Professional		$389.05	$588.84	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,479.11	Professional		$588.84	$776.25	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	AS	$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $776.25 / $1,202.26	Facility		$588.84	$776.25	$1,202.26
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