Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $22,908.68	Facility		$4,466.84	$10,000.00	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $18,620.87	Facility		$6,918.31	$11,748.98	$18,620.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$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 $549.54 / $1,047.13 / $1,862.09	Professional		$549.54	$1,047.13	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,818.38	Professional		$1,148.15	$1,380.38	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $120.23 / $151.36 / $501.19	Professional	80	$120.23	$151.36	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $120.23 / $120.23 / $151.36	Professional	AS	$120.23	$120.23	$151.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $12,302.69	Facility		$933.25	$933.25	$12,302.69
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	AS	$1,230.27	$1,230.27	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,630.27	Facility		$1,174.90	$1,584.89	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,549.93 / $20,892.96	Facility		$4,073.80	$9,549.93	$20,892.96