Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.00 / $6,640.00 / $17,393.00	Facility		$1,353.00	$6,640.00	$17,393.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,720.00 / $11,222.00	Facility		$1,787.00	$4,720.00	$11,222.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $425.93 / $724.76	Professional		$281.45	$425.93	$724.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.25 / $605.97 / $1,071.27	Professional		$438.25	$605.97	$1,071.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,693.04 / $19,913.50 / $26,542.00	Facility		$1,693.04	$19,913.50	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.51 / $585.59 / $861.80	Facility		$455.51	$585.59	$861.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,758.00 / $21,278.00	Facility		$5,116.00	$9,758.00	$21,278.00