Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,570.40	Professional		$933.25	$1,412.54	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $4,265.80	Professional		$1,659.59	$2,041.74	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $204.17 / $257.04 / $501.19	Professional	80	$204.17	$257.04	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $204.17 / $204.17 / $257.04	Professional	AS	$204.17	$204.17	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,197.01	Facility		$54.95	$56.23	$18,197.01
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	AS	$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $3,981.07	Facility		$1,698.24	$2,344.23	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01