Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.00 / $6,640.00 / $21,960.90	Facility		$2,138.00	$6,640.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $14,341.00	Facility		$2,143.00	$6,048.00	$14,341.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,811.75	Facility		$66.00	$100.00	$6,811.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32,633.78 / $38,567.19 / $50,000.00	Facility		$32,633.78	$38,567.19	$50,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $740.13 / $944.06 / $1,274.48	Professional		$740.13	$944.06	$1,274.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $842.74 / $1,085.67 / $1,919.02	Professional		$842.74	$1,085.67	$1,919.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,643.16 / $146,520.65	Facility		$55.00	$4,643.16	$146,520.65
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $190.58 / $13,888.08 / $13,888.08	Facility	AS	$190.58	$13,888.08	$13,888.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.74 / $1,056.83 / $1,511.55	Facility		$842.74	$1,056.83	$1,511.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $280.12 / $280.12 / $280.12	Facility	AS	$280.12	$280.12	$280.12
United Facility/Professional Facility Modifier Low / Median / High Price $11,918.00 / $23,865.00 / $54,637.00	Facility		$11,918.00	$23,865.00	$54,637.00