Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $21,379.62	Facility		$3,981.07	$10,000.00	$21,379.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,011.87 / $12,589.25	Facility		$66.07	$5,011.87	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $954.99	Professional		$354.81	$707.95	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,318.26	Professional		$562.34	$741.31	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $42,657.95	Facility		$8,912.51	$8,912.51	$42,657.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $1,202.26	Facility		$616.60	$794.33	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96