Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $22,908.68	Facility		$4,466.84	$10,000.00	$22,908.68
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 $524.81 / $1,000.00 / $1,862.09	Professional		$524.81	$1,000.00	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,884.03	Professional		$1,148.15	$1,380.38	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $114.82 / $144.54 / $501.19	Professional	80	$114.82	$144.54	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $114.82 / $114.82 / $144.54	Professional	AS	$114.82	$114.82	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,589.25	Facility		$54.95	$56.23	$12,589.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility	AS	$1,258.93	$1,258.93	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,754.23	Facility		$1,174.90	$1,621.81	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $15,135.61	Facility		$3,090.30	$7,244.36	$15,135.61