Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,715.19 / $22,908.68	Facility		$4,897.79	$10,715.19	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $8,709.64	Facility		$1,513.56	$1,905.46	$8,709.64
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 $630.96 / $5,623.41 / $14,791.08	Facility		$630.96	$5,623.41	$14,791.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,737.80	Professional		$1,000.00	$1,348.96	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $3,019.95	Professional		$1,122.02	$1,348.96	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $218.78 / $218.78 / $501.19	Professional	80	$218.78	$218.78	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	AS	$218.78	$218.78	$218.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $12,022.64	Facility		$2,818.38	$10,232.93	$12,022.64
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 $1,230.27 / $1,698.24 / $2,691.53	Facility		$1,230.27	$1,698.24	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,623.41 / $17,378.01	Facility		$1,584.89	$5,623.41	$17,378.01