Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,735.58 / $7,631.00 / $18,483.00	Facility		$1,735.58	$7,631.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $341.27 / $446.76 / $845.10	Professional		$341.27	$446.76	$845.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $387.65 / $694.91	Professional		$298.19	$387.65	$694.91
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 $1,898.33 / $5,444.45 / $26,542.00	Facility		$1,898.33	$5,444.45	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.11 / $411.25 / $659.59	Facility		$312.11	$411.25	$659.59
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $109.85 / $109.85 / $109.85	Facility	80	$109.85	$109.85	$109.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00