Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,871.94 / $21,714.00	Facility		$2,843.00	$9,871.94	$21,714.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,484.00 / $17,774.00	Facility		$3,204.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $14,871.05	Facility		$66.00	$100.00	$14,871.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,554.45	Facility		$3,101.23	$3,106.72	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.17 / $586.54 / $791.83	Professional		$218.17	$586.54	$791.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.61 / $648.79 / $1,176.25	Professional		$473.61	$648.79	$1,176.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,806.96 / $8,957.00 / $26,542.00	Facility		$1,806.96	$8,957.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.84 / $623.00 / $865.32	Facility		$441.84	$623.00	$865.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00