Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $9,772.37 / $21,379.62	Facility		$3,981.07	$9,772.37	$21,379.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $12,302.69	Facility		$66.07	$4,073.80	$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 $323.59 / $870.96 / $1,174.90	Professional		$323.59	$870.96	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,905.46	Professional		$676.08	$891.25	$1,905.46
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 $707.95 / $933.25 / $1,412.54	Facility		$707.95	$933.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96