Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,854.54	Facility		$66.00	$100.00	$6,854.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.33 / $467.08 / $630.55	Professional		$213.33	$467.08	$630.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.28 / $521.42 / $929.57	Professional		$380.28	$521.42	$929.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,821.10 / $4,754.80 / $16,394.00	Facility		$1,821.10	$4,754.80	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.59 / $516.89 / $742.83	Facility		$396.59	$516.89	$742.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00