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 $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
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 $602.56 / $912.01 / $1,737.80	Professional		$602.56	$912.01	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,818.38	Professional		$1,096.48	$1,348.96	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $131.83 / $165.96 / $501.19	Professional	80	$131.83	$165.96	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $131.83 / $131.83 / $165.96	Professional	AS	$131.83	$131.83	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	AS	$1,174.90	$1,174.90	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,570.40	Facility		$1,148.15	$1,548.82	$2,570.40
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