Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,471.29 / $22,387.21	Facility		$3,981.07	$10,471.29	$22,387.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,897.79 / $12,302.69	Facility		$66.07	$4,897.79	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $676.08	Professional		$338.84	$501.19	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $1,047.13	Professional		$407.38	$537.03	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $42,657.95	Facility		$8,912.51	$8,912.51	$42,657.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $549.54 / $851.14	Facility		$426.58	$549.54	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96