Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $5,980.00 / $17,538.00	Facility		$2,134.00	$5,980.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,697.00	Facility		$2,143.00	$6,048.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,721.71	Facility		$66.00	$100.00	$7,721.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $4,270.41 / $10,060.73	Facility		$3,613.43	$4,270.41	$10,060.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $759.92 / $1,025.89	Professional		$400.59	$759.92	$1,025.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $678.26 / $876.31 / $1,583.44	Professional		$678.26	$876.31	$1,583.44
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 $4,366.18 / $16,223.75 / $16,394.00	Facility		$4,366.18	$16,223.75	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $870.60 / $1,259.70	Facility		$688.00	$870.60	$1,259.70
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $255.16 / $255.16 / $255.16	Facility	80	$255.16	$255.16	$255.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,341.00 / $13,407.00 / $29,312.00	Facility		$6,341.00	$13,407.00	$29,312.00