Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,809.00	Facility		$1,820.00	$6,695.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,968.67	Facility		$66.00	$100.00	$8,968.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,303.40 / $16,662.81	Facility		$2,277.00	$9,303.40	$16,662.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $480.64 / $807.65 / $1,090.33	Professional		$480.64	$807.65	$1,090.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.59 / $898.46 / $1,635.74	Professional		$651.59	$898.46	$1,635.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,559.32 / $26,542.00 / $26,870.15	Facility		$2,559.32	$26,542.00	$26,870.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.08 / $880.16 / $1,294.51	Facility		$702.08	$880.16	$1,294.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,407.00 / $28,973.00	Facility		$7,212.00	$13,407.00	$28,973.00