Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,631.00 / $18,293.00	Facility		$2,197.85	$7,631.00	$18,293.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,106.72 / $6,000.00	Facility		$2,813.00	$3,106.72	$6,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $670.06 / $957.08	Professional		$505.96	$670.06	$957.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.10 / $752.36 / $1,344.68	Professional		$550.10	$752.36	$1,344.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,136.40 / $8,957.00 / $26,542.00	Facility		$2,136.40	$8,957.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.03 / $783.72 / $1,152.74	Facility		$611.03	$783.72	$1,152.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00