Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,050.00 / $21,514.00	Facility		$3,908.00	$10,050.00	$21,514.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,714.18	Facility		$64.40	$100.00	$5,714.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $845.49 / $1,279.48 / $1,727.03	Professional		$845.49	$1,279.48	$1,727.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,106.73 / $1,555.44 / $2,865.06	Professional		$1,106.73	$1,555.44	$2,865.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,965.92 / $11,233.36	Facility		$55.00	$10,965.92	$11,233.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,238.71 / $1,546.09 / $2,373.64	Facility		$1,238.71	$1,546.09	$2,373.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,341.00 / $26,451.00	Facility		$5,830.00	$12,341.00	$26,451.00