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 / $22,387.21	Facility		$4,466.84	$10,471.29	$22,387.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $6,760.83 / $22,908.68	Facility		$66.07	$6,760.83	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,466.84 / $13,489.63	Facility		$758.58	$4,466.84	$13,489.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $870.96	Professional		$380.19	$645.65	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,584.89	Professional		$524.81	$645.65	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $85.11 / $107.15 / $501.19	Professional	80	$85.11	$107.15	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $85.11 / $85.11 / $107.15	Professional	AS	$85.11	$85.11	$107.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $50,118.72	Facility		$16,218.10	$16,218.10	$50,118.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AS	$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $741.31 / $1,230.27	Facility		$549.54	$741.31	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $13,489.63 / $28,840.32	Facility		$6,309.57	$13,489.63	$28,840.32