Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $12,022.64 / $42,657.95	Facility		$4,365.16	$12,022.64	$42,657.95
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,090.30 / $3,090.30 / $4,786.30	Facility	22	$3,090.30	$3,090.30	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $26,302.68	Facility		$8,511.38	$13,803.84	$26,302.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,623.41 / $16,982.44	Facility		$66.07	$5,623.41	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $12,022.64 / $14,791.08	Facility		$7,244.36	$12,022.64	$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 / $27,542.29	Facility		$2,818.38	$2,818.38	$27,542.29
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	AS	$2,754.23	$2,754.23	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,570.40	Facility		$1,174.90	$1,548.82	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,454.40 / $32,359.37	Facility		$7,762.47	$14,454.40	$32,359.37