Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,031.00 / $22,085.00	Facility		$3,222.00	$9,031.00	$22,085.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
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 $620.25 / $938.63 / $1,488.30	Professional		$620.25	$938.63	$1,488.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $970.81 / $1,351.16 / $2,449.60	Professional		$970.81	$1,351.16	$2,449.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,256.87 / $13,600.18	Facility		$55.00	$13,256.87	$13,600.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,080.64 / $1,320.00 / $1,752.75	Facility		$1,080.64	$1,320.00	$1,752.75
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00