Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,342.00 / $17,809.00	Facility		$2,020.00	$6,342.00	$17,809.00
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 / $7,521.05	Facility		$66.00	$100.00	$7,521.05
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 $674.61 / $1,090.44 / $1,472.09	Professional		$674.61	$1,090.44	$1,472.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.57 / $1,264.66 / $2,268.84	Professional		$978.57	$1,264.66	$2,268.84
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 $3,599.48 / $14,302.50 / $16,394.00	Facility		$3,599.48	$14,302.50	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.94 / $1,320.60 / $1,936.84	Facility		$1,044.94	$1,320.60	$1,936.84
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $368.22 / $368.22 / $368.22	Facility	80	$368.22	$368.22	$368.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00