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 / $23,988.33	Facility		$4,897.79	$10,715.19	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $18,620.87	Facility		$6,918.31	$11,748.98	$18,620.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $23,988.33	Facility		$64.57	$100.00	$23,988.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $11,748.98 / $14,791.08	Facility		$630.96	$11,748.98	$14,791.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,344.23	Professional		$1,258.93	$1,778.28	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $3,981.07	Professional		$1,479.11	$1,819.70	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $263.03 / $331.13 / $501.19	Professional	80	$263.03	$331.13	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $263.03 / $263.03 / $331.13	Professional	AS	$263.03	$263.03	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $16,218.10	Facility		$2,818.38	$10,232.93	$16,218.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AS	$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,715.35	Facility		$1,621.81	$2,187.76	$3,715.35
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