Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,369.53 / $6,880.00 / $17,902.00	Facility		$2,369.53	$6,880.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $532.39 / $810.36 / $1,093.99	Professional		$532.39	$810.36	$1,093.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.46 / $931.91 / $1,671.48	Professional		$724.46	$931.91	$1,671.48
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 $2,660.64 / $9,388.90 / $26,542.00	Facility		$2,660.64	$9,388.90	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.71 / $972.43 / $1,360.56	Facility		$736.71	$972.43	$1,360.56
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $271.22 / $271.22 / $271.22	Facility	80	$271.22	$271.22	$271.22
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,341.00 / $26,672.00	Facility		$5,416.00	$12,341.00	$26,672.00