Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,188.00 / $9,005.00 / $22,007.00	Facility		$3,188.00	$9,005.00	$22,007.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,973.00 / $18,150.00	Facility		$1,500.00	$8,973.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $16,577.74	Facility		$67.90	$100.00	$16,577.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,429.01 / $22,920.00	Facility		$633.00	$1,429.01	$22,920.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $792.63 / $1,353.70 / $1,759.81	Professional		$792.63	$1,353.70	$1,759.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,149.34 / $1,496.86 / $2,841.03	Professional		$1,149.34	$1,496.86	$2,841.03
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $174.46 / $174.46 / $500.00	Professional	80	$174.46	$174.46	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $10,160.00 / $22,189.40	Facility		$2,800.00	$10,160.00	$22,189.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,192.54 / $1,532.46 / $2,172.62	Facility		$1,192.54	$1,532.46	$2,172.62
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $479.36 / $479.36 / $479.36	Facility	80	$479.36	$479.36	$479.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.00 / $17,127.00 / $46,941.00	Facility		$6,760.00	$17,127.00	$46,941.00