Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,912.51 / $21,379.62	Facility		$3,630.78	$8,912.51	$21,379.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $13,489.63 / $22,387.21	Facility		$7,413.10	$13,489.63	$22,387.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,445.44	Professional		$575.44	$870.96	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,290.87	Professional		$912.01	$1,122.02	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $125.89 / $158.49 / $501.19	Professional	80	$125.89	$158.49	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $125.89 / $125.89 / $158.49	Professional	AS	$125.89	$125.89	$158.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,511.38 / $9,772.37	Facility		$5,370.32	$8,511.38	$9,772.37
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility	52	$7,762.47	$7,762.47	$7,762.47
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	AS	$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,089.30	Facility		$977.24	$1,288.25	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,748.98 / $25,118.86	Facility		$5,248.07	$11,748.98	$25,118.86