Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,595.87	Facility		$1,659.59	$6,025.60	$16,595.87
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 $66.07 / $3,467.37 / $14,125.38	Facility		$66.07	$3,467.37	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,778.28 / $3,548.13	Facility		$660.69	$1,778.28	$3,548.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $977.24	Professional		$489.78	$724.44	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,412.54	Professional		$575.44	$724.44	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	AS	$109.65	$109.65	$109.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $7,943.28	Facility		$933.25	$933.25	$7,943.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	AS	$794.33	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $1,318.26	Facility		$602.56	$812.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $15,135.61	Facility		$3,090.30	$7,244.36	$15,135.61