Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $11,748.98 / $33,113.11	Facility		$4,897.79	$11,748.98	$33,113.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,248.07 / $19,498.45	Facility		$66.07	$5,248.07	$19,498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $13,489.63 / $14,791.08	Facility		$11,748.98	$13,489.63	$14,791.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,584.89	Professional		$794.33	$1,202.26	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,570.40	Professional		$1,023.29	$1,380.38	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $22,387.21	Facility		$2,818.38	$10,232.93	$22,387.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,818.38	Facility		$1,288.25	$1,659.59	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,454.40 / $37,153.52	Facility		$7,762.47	$14,454.40	$37,153.52