Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $12,589.25 / $26,915.35	Facility		$4,897.79	$12,589.25	$26,915.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $18,197.01	Facility		$1,737.80	$2,238.72	$18,197.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $6,918.31 / $13,489.63	Facility		$660.69	$6,918.31	$13,489.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,737.80 / $2,344.23	Professional		$954.99	$1,737.80	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $3,890.45	Professional		$1,445.44	$1,778.28	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $208.93 / $263.03 / $501.19	Professional	80	$208.93	$263.03	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $208.93 / $208.93 / $263.03	Professional	AS	$208.93	$208.93	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $23,442.29	Facility		$8,511.38	$8,511.38	$23,442.29
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	AS	$2,344.23	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,630.78	Facility		$1,584.89	$2,187.76	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $12,589.25 / $28,840.32	Facility		$5,888.44	$12,589.25	$28,840.32