Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,951.37 / $9,821.00 / $21,564.38	Facility		$3,951.37	$9,821.00	$21,564.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $9,644.00 / $19,252.00	Facility		$3,275.00	$9,644.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,559.83	Facility		$66.00	$100.00	$20,559.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.09 / $13,334.00 / $14,932.00	Facility		$6,185.09	$13,334.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.77 / $1,539.49 / $2,309.23	Professional		$1,220.77	$1,539.49	$2,309.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,367.81 / $1,750.70 / $3,176.99	Professional		$1,367.81	$1,750.70	$3,176.99
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 $8,863.68 / $26,542.00 / $27,770.10	Facility		$8,863.68	$26,542.00	$27,770.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,458.92 / $1,887.96 / $2,661.45	Facility		$1,458.92	$1,887.96	$2,661.45
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $519.19 / $519.19 / $519.19	Facility	80	$519.19	$519.19	$519.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00