Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,218.00 / $17,013.00	Facility		$1,539.00	$6,218.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.33 / $1,033.20	Professional		$505.96	$765.33	$1,033.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.15 / $861.15 / $1,540.37	Professional		$630.15	$861.15	$1,540.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,073.05 / $8,957.00 / $16,394.00	Facility		$3,073.05	$8,957.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.17 / $909.29 / $1,247.07	Facility		$700.17	$909.29	$1,247.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00