Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $23,442.29	Facility		$3,715.35	$9,549.93	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,011.87 / $16,982.44	Facility		$66.07	$5,011.87	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,265.80	Facility		$3,630.78	$3,630.78	$4,265.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $977.24	Professional		$562.34	$724.44	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,513.56	Professional		$602.56	$794.33	$1,513.56
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 $3,630.78 / $3,630.78 / $16,218.10	Facility		$3,630.78	$3,630.78	$16,218.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AS	$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,513.56	Facility		$691.83	$912.01	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32