Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,309.57 / $16,982.44	Facility		$2,187.76	$6,309.57	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,290.87 / $7,762.47	Facility		$66.07	$2,290.87	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $616.60 / $1,000.00	Professional		$331.13	$616.60	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,148.15	Professional		$489.78	$660.69	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $28,840.32	Facility		$4,786.30	$4,786.30	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $1,047.13	Facility		$524.81	$707.95	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $9,772.37	Facility		$2,290.87	$4,265.80	$9,772.37