Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,879.00 / $21,355.00	Facility		$2,843.00	$9,879.00	$21,355.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $20,040.00 / $51,698.00	Facility		$5,863.00	$20,040.00	$51,698.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $11,539.24	Facility		$65.80	$100.00	$11,539.24
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 $1,835.44 / $2,649.44 / $3,471.96	Professional		$1,835.44	$2,649.44	$3,471.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,188.35 / $3,039.38 / $5,522.85	Professional		$2,188.35	$3,039.38	$5,522.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $38,331.01 / $39,376.54	Facility		$55.00	$38,331.01	$39,376.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,521.08 / $3,133.74 / $4,343.18	Facility		$2,521.08	$3,133.74	$4,343.18
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00