Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,530.35 / $9,639.00 / $22,788.00	Facility		$3,530.35	$9,639.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,386.83	Facility		$66.00	$100.00	$10,386.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $798.58 / $926.20 / $1,250.36	Professional		$798.58	$926.20	$1,250.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.73 / $1,065.13 / $1,921.37	Professional		$827.73	$1,065.13	$1,921.37
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 $55.00 / $4,559.28 / $14,302.50	Facility		$55.00	$4,559.28	$14,302.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $856.99 / $1,108.74 / $1,686.03	Facility		$856.99	$1,108.74	$1,686.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $310.27 / $310.27 / $310.27	Facility	80	$310.27	$310.27	$310.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00