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 $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$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 $616.60 / $933.25 / $1,445.44	Professional		$616.60	$933.25	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,454.71	Professional		$912.01	$1,122.02	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $134.90 / $169.82 / $501.19	Professional	80	$134.90	$169.82	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $134.90 / $134.90 / $169.82	Professional	AS	$134.90	$134.90	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,413.10	Facility		$54.95	$56.23	$7,413.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	AS	$741.31	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,137.96	Facility		$1,000.00	$1,348.96	$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