Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $301.94 / $565.01 / $1,175.32	Professional		$301.94	$565.01	$1,175.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.56 / $612.76 / $1,098.92	Professional		$449.56	$612.76	$1,098.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,681.76 / $4,754.80	Facility		$55.00	$1,681.76	$4,754.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.78 / $585.91 / $819.26	Facility		$462.78	$585.91	$819.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00