Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.87 / $6,537.00 / $17,393.00	Facility		$955.87	$6,537.00	$17,393.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,140.00 / $14,981.00	Facility		$2,456.00	$7,140.00	$14,981.00
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 / $5,729.24 / $10,261.32	Facility		$2,277.00	$5,729.24	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $1,283.81 / $1,871.78	Professional		$337.30	$1,283.81	$1,871.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $952.39 / $1,329.11 / $2,272.67	Professional		$952.39	$1,329.11	$2,272.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,301.38 / $6,565.62 / $26,542.00	Facility		$6,301.38	$6,565.62	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $838.69 / $1,242.71 / $1,779.10	Facility		$838.69	$1,242.71	$1,779.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00