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 $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 $1,023.29 / $1,548.82 / $2,137.96	Professional		$1,023.29	$1,548.82	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $3,548.13	Professional		$1,348.96	$1,659.59	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $223.87 / $281.84 / $501.19	Professional	80	$223.87	$281.84	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $223.87 / $223.87 / $281.84	Professional	AS	$223.87	$223.87	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,791.08	Facility		$54.95	$56.23	$14,791.08
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility	52	$11,748.98	$11,748.98	$11,748.98
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 $1,513.56 / $2,041.74 / $3,311.31	Facility		$1,513.56	$2,041.74	$3,311.31
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