Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,545.00 / $16,713.00	Facility		$1,208.95	$5,545.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,193.00 / $10,144.00	Facility		$2,160.00	$5,193.00	$10,144.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $606.22 / $1,375.41	Professional		$400.59	$606.22	$1,375.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.50 / $1,241.40 / $2,225.21	Professional		$882.50	$1,241.40	$2,225.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,488.45 / $5,585.10	Facility		$55.00	$5,488.45	$5,585.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $911.38 / $1,195.52 / $1,613.01	Facility		$911.38	$1,195.52	$1,613.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00