Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $8,912.51 / $19,952.62	Facility		$3,235.94	$8,912.51	$19,952.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,417.38	Facility		$6,918.31	$11,748.98	$20,417.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $12,882.50	Facility		$61.66	$100.00	$12,882.50
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 $1,230.27 / $1,659.59 / $2,137.96	Professional		$1,230.27	$1,659.59	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $3,467.37	Professional		$1,380.38	$1,659.59	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $269.15 / $338.84 / $501.19	Professional	80	$269.15	$338.84	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $269.15 / $269.15 / $338.84	Professional	AS	$269.15	$269.15	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $14,791.08	Facility		$2,818.38	$2,818.38	$14,791.08
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 / $3,467.37	Facility		$1,513.56	$2,041.74	$3,467.37
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