Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $10,000.00 / $22,908.68	Facility		$3,548.13	$10,000.00	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
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 $199.53 / $223.87 / $302.00	Professional		$199.53	$223.87	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $562.34	Professional		$190.55	$234.42	$562.34
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $44.67 / $56.23 / $501.19	Professional	80	$44.67	$56.23	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.67 / $44.67 / $56.23	Professional	AS	$44.67	$44.67	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,479.11	Facility		$54.95	$56.23	$1,479.11
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	52	$1,174.90	$1,174.90	$1,174.90
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	AS	$147.91	$147.91	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $309.03 / $537.03	Facility		$223.87	$309.03	$537.03
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