Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,937.06 / $10,321.00 / $22,788.00	Facility		$2,937.06	$10,321.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $9,771.00 / $21,405.00	Facility		$3,612.00	$9,771.00	$21,405.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $11,939.24	Facility		$63.90	$100.00	$11,939.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $930.75 / $1,760.63 / $4,528.42	Professional		$930.75	$1,760.63	$4,528.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,979.59 / $3,886.04 / $7,502.62	Professional		$2,979.59	$3,886.04	$7,502.62
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $51,733.36 / $52,984.40	Facility		$55.00	$51,733.36	$52,984.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,937.06 / $3,908.21 / $5,573.44	Facility		$2,937.06	$3,908.21	$5,573.44
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,260.90 / $1,260.90 / $1,260.90	Facility	80	$1,260.90	$1,260.90	$1,260.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00