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 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$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 $758.58 / $1,148.15 / $1,778.28	Professional		$758.58	$1,148.15	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,754.23	Professional		$1,122.02	$1,380.38	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $165.96 / $208.93 / $501.19	Professional	80	$165.96	$208.93	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $165.96 / $165.96 / $208.93	Professional	AS	$165.96	$165.96	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,022.64	Facility		$54.95	$56.23	$12,022.64
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility	52	$9,772.37	$9,772.37	$9,772.37
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	AS	$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,691.53	Facility		$1,258.93	$1,659.59	$2,691.53
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