Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $22,387.21	Facility		$3,715.35	$9,549.93	$22,387.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,570.88 / $13,182.57	Facility		$66.07	$4,570.88	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $812.83 / $1,096.48	Professional		$407.38	$812.83	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,584.89	Professional		$660.69	$870.96	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $1,479.11	Facility		$724.44	$954.99	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96