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 / $24,547.09	Facility		$4,677.35	$10,232.93	$24,547.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $16,982.44	Facility		$66.07	$5,495.41	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,388.44 / $5,623.41	Facility		$812.83	$3,388.44	$5,623.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,548.82	Professional		$758.58	$1,148.15	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,570.40	Professional		$954.99	$1,148.15	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $165.96 / $208.93 / $501.19	Professional	80	$165.96	$208.93	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $165.96 / $165.96 / $208.93	Professional	AS	$165.96	$165.96	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	AS	$1,659.59	$1,659.59	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,570.40	Facility		$1,122.02	$1,584.89	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,748.98 / $25,118.86	Facility		$5,248.07	$11,748.98	$25,118.86