Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,232.93 / $23,988.33	Facility		$4,677.35	$10,232.93	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $16,982.44	Facility		$66.07	$3,630.78	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,344.23	Facility		$1,122.02	$1,737.80	$2,344.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,096.48	Professional		$501.19	$812.83	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,621.81	Professional		$645.65	$831.76	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $33,884.42 / $33,884.42	Facility		$6,918.31	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility	54	$4,786.30	$4,786.30	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,778.28	Facility		$741.31	$977.24	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61