Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,855.75 / $10,061.00 / $22,788.00	Facility		$1,855.75	$10,061.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,014.00 / $25,103.02	Facility		$4,734.00	$12,014.00	$25,103.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,684.00 / $13,360.00 / $14,932.00	Facility		$11,684.00	$13,360.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.07 / $1,463.76 / $1,756.51	Professional		$1,128.07	$1,463.76	$1,756.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,317.38 / $1,686.86 / $3,063.19	Professional		$1,317.38	$1,686.86	$3,063.19
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $10,160.00 / $12,371.84	Facility		$2,800.00	$10,160.00	$12,371.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $258.63 / $603.26 / $648.67	Facility	AS	$258.63	$603.26	$648.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,405.72 / $1,814.10 / $2,506.85	Facility		$1,405.72	$1,814.10	$2,506.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $500.30 / $500.30 / $500.30	Facility	80	$500.30	$500.30	$500.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $425.26 / $425.26 / $425.26	Facility	AS	$425.26	$425.26	$425.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,319.00 / $20,279.00	Facility		$2,009.00	$5,319.00	$20,279.00