Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $9,549.93 / $23,442.29	Facility		$3,630.78	$9,549.93	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $12,302.69	Facility		$66.07	$4,786.30	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,466.84	Facility		$3,801.89	$3,801.89	$4,466.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $1,096.48	Professional		$575.44	$630.96	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,380.38	Professional		$537.03	$707.95	$1,380.38
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 $16,982.44 / $33,884.42 / $33,884.42	Facility		$16,982.44	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	AS	$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,380.38	Facility		$676.08	$912.01	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $29,512.09	Facility		$7,762.47	$14,125.38	$29,512.09