Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,709.64 / $21,877.62	Facility		$3,311.31	$8,709.64	$21,877.62
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 / $4,786.30 / $12,022.64	Facility		$66.07	$4,786.30	$12,022.64
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 $229.09 / $676.08 / $912.01	Professional		$229.09	$676.08	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,318.26	Professional		$549.54	$707.95	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $1,148.15	Facility		$537.03	$724.44	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $19,054.61	Facility		$4,073.80	$7,762.47	$19,054.61