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 $337.30 / $802.65 / $1,083.58	Professional		$337.30	$802.65	$1,083.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.65 / $860.77 / $1,558.70	Professional		$637.65	$860.77	$1,558.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,382.80 / $8,957.00 / $12,000.00	Facility		$2,382.80	$8,957.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.92 / $843.59 / $1,163.83	Facility		$604.92	$843.59	$1,163.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,213.00 / $9,131.00	Facility		$2,230.00	$4,213.00	$9,131.00