Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.08 / $9,674.00 / $22,788.00	Facility		$1,215.08	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $6,264.00 / $14,341.00	Facility		$2,137.00	$6,264.00	$14,341.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $666.42 / $1,008.49 / $1,724.54	Professional		$666.42	$1,008.49	$1,724.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,125.23 / $1,465.81 / $2,697.02	Professional		$1,125.23	$1,465.81	$2,697.02
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $146.61 / $184.89 / $500.00	Professional	80	$146.61	$184.89	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,085.20 / $11,348.32	Facility		$55.00	$11,085.20	$11,348.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,160.69 / $1,486.79 / $2,122.51	Facility		$1,160.69	$1,486.79	$2,122.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $467.80 / $467.80 / $467.80	Facility	80	$467.80	$467.80	$467.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00