Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $9,772.37 / $25,703.96	Facility		$3,235.94	$9,772.37	$25,703.96
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,548.13 / $6,165.95 / $6,165.95	Facility	22	$3,548.13	$6,165.95	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $6,309.57 / $14,791.08	Facility		$66.07	$6,309.57	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,019.95 / $13,489.63	Facility		$660.69	$3,019.95	$13,489.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $512.86 / $870.96	Professional		$275.42	$512.86	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,288.25	Professional		$524.81	$645.65	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $60.26 / $75.86 / $501.19	Professional	80	$60.26	$75.86	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $60.26 / $60.26 / $75.86	Professional	AS	$60.26	$60.26	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $13,489.63 / $13,489.63	Facility		$2,818.38	$13,489.63	$13,489.63
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	AS	$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $1,230.27	Facility		$575.44	$776.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $13,489.63 / $28,840.32	Facility		$6,309.57	$13,489.63	$28,840.32