Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,420.51 / $10,321.00 / $22,788.00	Facility		$2,420.51	$10,321.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
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 $927.77 / $1,403.99 / $3,413.96	Professional		$927.77	$1,403.99	$3,413.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,241.16 / $2,921.89 / $5,553.05	Professional		$2,241.16	$2,921.89	$5,553.05
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $203.95 / $257.19 / $500.00	Professional	80	$203.95	$257.19	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,192.16 / $22,747.84	Facility		$55.00	$22,192.16	$22,747.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,898.08 / $4,023.74	Facility		$2,030.00	$2,898.08	$4,023.74
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $945.36 / $945.36 / $945.36	Facility	80	$945.36	$945.36	$945.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00