Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $22,908.68	Facility		$3,715.35	$10,000.00	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$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 $691.83 / $1,047.13 / $1,348.96	Professional		$691.83	$1,047.13	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,089.30	Professional		$870.96	$1,071.52	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $151.36 / $190.55 / $501.19	Professional	80	$151.36	$190.55	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $151.36 / $151.36 / $190.55	Professional	AS	$151.36	$151.36	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,549.93	Facility		$54.95	$56.23	$9,549.93
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	AS	$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,137.96	Facility		$977.24	$1,288.25	$2,137.96
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