Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,982.44	Facility		$2,511.89	$6,606.93	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,332.54	Facility		$66.07	$3,630.78	$9,332.54
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 $549.54 / $794.33 / $1,071.52	Professional		$549.54	$794.33	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,698.24	Professional		$630.96	$851.14	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $28,840.32	Facility		$19,952.62	$19,952.62	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $1,380.38	Facility		$707.95	$912.01	$1,380.38
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