Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,000.00 / $18,581.31	Facility		$2,197.85	$7,000.00	$18,581.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,771.22 / $9,141.00 / $19,298.00	Facility		$3,771.22	$9,141.00	$19,298.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $14,117.38	Facility		$63.50	$98.70	$14,117.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $12,000.00	Facility		$12,000.00	$12,000.00	$12,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $612.42 / $772.33 / $1,198.16	Professional		$612.42	$772.33	$1,198.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $898.62 / $1,140.92 / $2,114.61	Professional		$898.62	$1,140.92	$2,114.61
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,092.17 / $10,010.87	Facility		$55.00	$8,092.17	$10,010.87
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.93 / $441.81 / $455.59	Facility	AS	$187.93	$441.81	$455.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $963.66 / $1,256.46 / $1,827.22	Facility		$963.66	$1,256.46	$1,827.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,830.00 / $21,358.00	Facility		$2,047.00	$5,830.00	$21,358.00