Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,310.00 / $16,713.00	Facility		$1,256.22	$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 / $5,351.70	Facility		$66.00	$100.00	$5,351.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $228.22 / $404.60 / $546.21	Professional		$228.22	$404.60	$546.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.19 / $448.08 / $801.00	Professional		$326.19	$448.08	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.88 / $4,754.80 / $12,000.00	Facility		$1,241.88	$4,754.80	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $429.10 / $622.96	Facility		$320.00	$429.10	$622.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,038.00 / $9,072.00	Facility		$2,048.00	$4,038.00	$9,072.00