Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,044.64 / $7,964.74 / $18,483.00	Facility		$2,044.64	$7,964.74	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,416.95	Facility		$66.00	$100.00	$9,416.95
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 $210.72 / $480.87 / $649.16	Professional		$210.72	$480.87	$649.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.45 / $536.39 / $951.98	Professional		$389.45	$536.39	$951.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,491.44 / $4,754.80 / $26,542.00	Facility		$1,491.44	$4,754.80	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.32 / $525.88 / $730.72	Facility		$423.32	$525.88	$730.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00