Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,701.00	Facility		$1,820.00	$6,631.00	$17,701.00
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 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $620.45 / $837.61	Professional		$337.30	$620.45	$837.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.09 / $690.86 / $1,234.66	Professional		$505.09	$690.86	$1,234.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,435.00 / $8,957.00 / $26,542.00	Facility		$2,435.00	$8,957.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.69 / $680.66 / $992.72	Facility		$552.69	$680.66	$992.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00