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 $6,918.31 / $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 $1,047.13 / $1,548.82 / $2,041.74	Professional		$1,047.13	$1,548.82	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $3,388.44	Professional		$1,318.26	$1,584.89	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $229.09 / $288.40 / $501.19	Professional	80	$229.09	$288.40	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $229.09 / $229.09 / $288.40	Professional	AS	$229.09	$229.09	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,125.38	Facility		$54.95	$56.23	$14,125.38
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility	AS	$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,235.94	Facility		$1,445.44	$1,905.46	$3,235.94
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