Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,456.54 / $18,197.01	Facility		$2,344.23	$6,456.54	$18,197.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $14,125.38	Facility		$66.07	$3,388.44	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,659.59 / $3,548.13	Facility		$660.69	$1,659.59	$3,548.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,258.93	Professional		$676.08	$933.25	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,862.09	Professional		$741.31	$933.25	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	AS	$147.91	$147.91	$147.91
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 $794.33 / $1,071.52 / $1,778.28	Facility		$794.33	$1,071.52	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,549.93 / $20,892.96	Facility		$4,073.80	$9,549.93	$20,892.96