Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,701.00	Facility		$1,820.00	$6,631.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
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 $285.18 / $595.34 / $803.71	Professional		$285.18	$595.34	$803.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.90 / $663.38 / $1,185.32	Professional		$484.90	$663.38	$1,185.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,870.16 / $4,754.80 / $26,542.00	Facility		$1,870.16	$4,754.80	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.20 / $643.37 / $936.38	Facility		$487.20	$643.37	$936.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00