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 $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 $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
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 $741.31 / $1,122.02 / $1,445.44	Professional		$741.31	$1,122.02	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,570.40	Professional		$1,023.29	$1,348.96	$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 / $10,964.78	Facility		$2,818.38	$10,232.93	$10,964.78
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	AS	$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,630.27	Facility		$1,230.27	$1,621.81	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87