Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $17,378.01	Facility		$1,737.80	$6,025.60	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $10,471.29	Facility		$66.07	$3,548.13	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,659.59	Professional		$457.09	$691.83	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $954.99 / $1,778.28	Professional		$416.87	$954.99	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $29,512.09	Facility		$54.95	$56.23	$29,512.09
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility	AS	$2,951.21	$2,951.21	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $912.01 / $1,621.81	Facility		$478.63	$912.01	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32