Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $9,120.11 / $22,908.68	Facility		$3,388.44	$9,120.11	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,677.35 / $12,589.25	Facility		$66.07	$4,677.35	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,265.80 / $13,489.63	Facility		$758.58	$4,265.80	$13,489.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $501.19	Professional		$251.19	$363.08	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $831.76	Professional		$302.00	$371.54	$831.76
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $54.95 / $69.18 / $501.19	Professional	80	$54.95	$69.18	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $54.95 / $54.95 / $69.18	Professional	AS	$54.95	$54.95	$69.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $33,884.42	Facility		$16,218.10	$16,218.10	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AS	$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $446.68 / $776.25	Facility		$331.13	$446.68	$776.25
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