Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $5,382.00 / $16,713.00	Facility		$1,169.00	$5,382.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $314.52 / $424.62	Professional		$218.54	$314.52	$424.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.37 / $359.83 / $642.60	Professional		$259.37	$359.83	$642.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.16 / $8,957.00 / $12,000.00	Facility		$1,013.16	$8,957.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.91 / $371.18 / $676.89	Facility		$279.91	$371.18	$676.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00