Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,447.00 / $18,544.00	Facility		$2,822.00	$9,447.00	$18,544.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,554.45	Facility		$3,101.23	$3,106.72	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $665.47 / $898.38	Professional		$263.95	$665.47	$898.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $545.00 / $744.71 / $1,332.21	Professional		$545.00	$744.71	$1,332.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,117.71 / $8,957.00 / $26,542.00	Facility		$2,117.71	$8,957.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.77 / $757.95 / $1,066.64	Facility		$595.77	$757.95	$1,066.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00