Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,859.00 / $20,509.00	Facility		$2,387.00	$8,859.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,809.99	Facility		$64.40	$100.00	$5,809.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,814.00 / $3,814.00 / $3,814.00	Facility		$3,814.00	$3,814.00	$3,814.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $811.99 / $1,203.13 / $1,535.97	Professional		$811.99	$1,203.13	$1,535.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.20 / $1,360.00 / $2,504.61	Professional		$979.20	$1,360.00	$2,504.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,674.10 / $16,084.38	Facility		$55.00	$15,674.10	$16,084.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $1,342.73 / $1,929.12	Facility		$1,088.00	$1,342.73	$1,929.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00