Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,853.25 / $10,321.00 / $22,788.00	Facility		$2,853.25	$10,321.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,489.98 / $8,947.00 / $19,298.00	Facility		$3,489.98	$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 $1,275.13 / $1,929.65 / $4,430.32	Professional		$1,275.13	$1,929.65	$4,430.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,914.44 / $3,802.14 / $7,667.87	Professional		$2,914.44	$3,802.14	$7,667.87
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $280.52 / $353.77 / $500.00	Professional	80	$280.52	$353.77	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,917.60 / $29,695.52	Facility		$55.00	$28,917.60	$29,695.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,359.35 / $3,759.31 / $5,264.11	Facility		$2,359.35	$3,759.31	$5,264.11
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,232.25 / $1,232.25 / $1,232.25	Facility	80	$1,232.25	$1,232.25	$1,232.25
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