Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $11,220.18 / $43,651.58	Facility		$3,981.07	$11,220.18	$43,651.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,951.21 / $21,379.62	Facility		$66.07	$2,951.21	$21,379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $13,489.63 / $14,791.08	Facility		$11,748.98	$13,489.63	$14,791.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,621.81	Professional		$954.99	$1,202.26	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,570.40	Professional		$1,023.29	$1,348.96	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $22,387.21	Facility		$2,818.38	$2,818.38	$22,387.21
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility	52	$17,782.79	$17,782.79	$17,782.79
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility	62	$13,803.84	$13,803.84	$13,803.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $3,311.31	Facility		$1,288.25	$1,905.46	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $18,197.01 / $48,977.88	Facility		$9,549.93	$18,197.01	$48,977.88