Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $22,387.21	Facility		$3,715.35	$9,549.93	$22,387.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $13,489.63	Facility		$66.07	$4,786.30	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,096.48	Professional		$467.74	$812.83	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,862.09	Professional		$645.65	$870.96	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $47,863.01	Facility		$33,884.42	$33,884.42	$47,863.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $954.99 / $1,445.44	Facility		$741.31	$954.99	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $21,379.62	Facility		$5,370.32	$10,000.00	$21,379.62