Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,964.78 / $23,442.29	Facility		$4,168.69	$10,964.78	$23,442.29
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility	22	$14,791.08	$14,791.08	$14,791.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,803.84 / $22,387.21	Facility		$7,943.28	$13,803.84	$22,387.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $17,378.01	Facility		$66.07	$3,890.45	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $11,748.98 / $14,791.08	Facility		$630.96	$11,748.98	$14,791.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,041.74	Professional		$1,258.93	$1,513.56	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $3,311.31	Professional		$1,258.93	$1,548.82	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $281.84 / $281.84 / $501.19	Professional	80	$281.84	$281.84	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	AS	$281.84	$281.84	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $22,387.21	Facility		$3,235.94	$3,235.94	$22,387.21
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility	62	$13,803.84	$13,803.84	$13,803.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,235.94	Facility		$1,445.44	$1,905.46	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $13,489.63 / $28,840.32	Facility		$5,888.44	$13,489.63	$28,840.32