Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
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 / $12,882.50	Facility		$61.66	$100.00	$12,882.50
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 $1,862.09 / $2,818.38 / $3,981.07	Professional		$1,862.09	$2,818.38	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $8,128.31	Professional		$2,570.40	$3,090.30	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $416.87 / $501.19 / $524.81	Professional	80	$416.87	$501.19	$524.81
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $416.87 / $416.87 / $524.81	Professional	AS	$416.87	$416.87	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $30,902.95	Facility		$54.95	$56.23	$30,902.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	AS	$3,090.30	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $6,165.95	Facility		$2,818.38	$3,715.35	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01