Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $5,980.00 / $17,013.00	Facility		$1,390.35	$5,980.00	$17,013.00
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 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $430.77 / $581.54	Professional		$295.23	$430.77	$581.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.40 / $479.47 / $851.64	Professional		$348.40	$479.47	$851.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.84 / $4,017.35 / $16,394.00	Facility		$1,331.84	$4,017.35	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.55 / $461.03 / $689.23	Facility		$360.55	$461.03	$689.23
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