Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $22,387.21	Facility		$3,715.35	$9,120.11	$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 / $4,073.80 / $10,964.78	Facility		$66.07	$4,073.80	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $891.25 / $1,202.26	Professional		$338.84	$891.25	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,659.59	Professional		$691.83	$891.25	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $33,884.42 / $33,884.42	Facility		$11,748.98	$33,884.42	$33,884.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $1,445.44	Facility		$724.44	$954.99	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96