Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.71 / $9,674.00 / $22,788.00	Facility		$1,395.71	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,367.09	Facility		$66.70	$100.00	$5,367.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $600.15 / $1,135.25 / $1,939.61	Professional		$600.15	$1,135.25	$1,939.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,268.26 / $1,655.80 / $3,048.17	Professional		$1,268.26	$1,655.80	$3,048.17
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,535.60 / $12,839.36	Facility		$55.00	$12,535.60	$12,839.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,204.58 / $1,651.88 / $2,354.83	Facility		$1,204.58	$1,651.88	$2,354.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $532.80 / $532.80 / $532.80	Facility	80	$532.80	$532.80	$532.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00