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 / $5,122.07	Facility		$66.00	$100.00	$5,122.07
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 $298.20 / $536.00 / $1,175.32	Professional		$298.20	$536.00	$1,175.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.95 / $582.09 / $1,043.66	Professional		$426.95	$582.09	$1,043.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,598.20 / $4,754.80	Facility		$55.00	$1,598.20	$4,754.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.52 / $563.03 / $777.20	Facility		$442.52	$563.03	$777.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,072.00	Facility		$2,090.00	$4,060.00	$9,072.00