Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,715.19 / $23,988.33	Facility		$3,715.35	$10,715.19	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$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 $316.23 / $331.13 / $446.68	Professional		$316.23	$331.13	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $758.58	Professional		$281.84	$346.74	$758.58
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $69.18 / $87.10 / $501.19	Professional	80	$69.18	$87.10	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $69.18 / $69.18 / $87.10	Professional	AS	$69.18	$69.18	$87.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,137.96	Facility		$54.95	$56.23	$2,137.96
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	62	$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	AS	$213.80	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $758.58	Facility		$331.13	$457.09	$758.58
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