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 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $260.24 / $508.22 / $686.10	Professional		$260.24	$508.22	$686.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.59 / $564.65 / $1,008.55	Professional		$412.59	$564.65	$1,008.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,585.32 / $8,957.00 / $12,000.00	Facility		$1,585.32	$8,957.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.56 / $550.12 / $805.13	Facility		$447.56	$550.12	$805.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00