Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $9,403.00 / $20,509.00	Facility		$3,546.09	$9,403.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $10,189.00 / $22,008.00	Facility		$4,108.00	$10,189.00	$22,008.00
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 $951.60 / $1,440.05 / $2,142.16	Professional		$951.60	$1,440.05	$2,142.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,606.62 / $2,058.52 / $4,766.30	Professional		$1,606.62	$2,058.52	$4,766.30
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 / $15,019.36	Facility		$2,800.00	$10,160.00	$15,019.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,649.69 / $2,116.61 / $3,126.68	Facility		$1,649.69	$2,116.61	$3,126.68
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $616.58 / $616.58 / $616.58	Facility	80	$616.58	$616.58	$616.58
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