Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $23,988.33	Facility		$4,466.84	$10,471.29	$23,988.33
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 $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 $501.19 / $758.58 / $1,584.89	Professional		$501.19	$758.58	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,630.27	Professional		$1,023.29	$1,258.93	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $112.20 / $141.25 / $501.19	Professional	80	$112.20	$141.25	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $112.20 / $112.20 / $141.25	Professional	AS	$112.20	$112.20	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,715.19	Facility		$54.95	$56.23	$10,715.19
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	AS	$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,398.83	Facility		$1,096.48	$1,445.44	$2,398.83
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