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 / $786.24 / $1,061.42	Professional		$337.30	$786.24	$1,061.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.11 / $842.83 / $1,525.59	Professional		$624.11	$842.83	$1,525.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,327.67 / $8,957.00 / $12,000.00	Facility		$2,327.67	$8,957.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $605.03 / $832.14 / $1,140.05	Facility		$605.03	$832.14	$1,140.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,218.00 / $9,131.00	Facility		$2,230.00	$4,218.00	$9,131.00