Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,762.47 / $18,197.01	Facility		$3,090.30	$7,762.47	$18,197.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,709.64	Facility		$66.07	$3,388.44	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,778.28	Facility		$1,513.56	$1,513.56	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,698.24	Professional		$1,096.48	$1,380.38	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,884.03	Professional		$1,148.15	$1,513.56	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,128.31	Facility		$54.95	$56.23	$8,128.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,570.40	Facility		$1,258.93	$1,659.59	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,413.10 / $15,135.61	Facility		$3,981.07	$7,413.10	$15,135.61