Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,912.51 / $23,988.33	Facility		$3,311.31	$8,912.51	$23,988.33
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 $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $5,623.41 / $14,791.08	Facility		$630.96	$5,623.41	$14,791.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,513.56	Professional		$851.14	$1,174.90	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,630.27	Professional		$954.99	$1,174.90	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $186.21 / $186.21 / $501.19	Professional	80	$186.21	$186.21	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $186.21 / $186.21 / $186.21	Professional	AS	$186.21	$186.21	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $8,912.51	Facility		$2,818.38	$2,818.38	$8,912.51
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,344.23	Facility		$1,047.13	$1,412.54	$2,344.23
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