Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,159.00 / $17,030.00	Facility		$1,539.00	$6,159.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,170.31	Facility		$66.00	$100.00	$7,170.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $707.36 / $954.94	Professional		$400.59	$707.36	$954.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.94 / $789.84 / $1,412.73	Professional		$577.94	$789.84	$1,412.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,360.90 / $8,957.00 / $16,394.00	Facility		$3,360.90	$8,957.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $631.87 / $786.31 / $1,133.81	Facility		$631.87	$786.31	$1,133.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00