Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$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 $354.81 / $676.08 / $1,174.90	Professional		$354.81	$676.08	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,659.59	Professional		$724.44	$891.25	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $79.43 / $100.00 / $501.19	Professional	80	$79.43	$100.00	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $79.43 / $79.43 / $100.00	Professional	AS	$79.43	$79.43	$100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,585.78	Facility		$54.95	$56.23	$7,585.78
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	AS	$758.58	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,659.59	Facility		$776.25	$1,023.29	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93