Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $13,182.57 / $30,199.52	Facility		$4,466.84	$13,182.57	$30,199.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $15,848.93 / $20,417.38	Facility		$8,128.31	$15,848.93	$20,417.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $16,982.44	Facility		$63.10	$100.00	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $12,022.64 / $34,673.69	Facility		$660.69	$12,022.64	$34,673.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,380.38	Professional		$1,023.29	$1,071.52	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,238.72	Professional		$870.96	$1,071.52	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $234.42 / $234.42 / $501.19	Professional	80	$234.42	$234.42	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	AS	$234.42	$234.42	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $22,387.21 / $22,387.21	Facility		$14,791.08	$22,387.21	$22,387.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	AS	$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,454.71	Facility		$1,023.29	$1,348.96	$2,454.71
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $29,512.09	Facility		$29,512.09	$29,512.09	$29,512.09
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $12,589.25 / $30,199.52	Facility		$6,165.95	$12,589.25	$30,199.52