Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.00 / $7,000.00 / $18,252.00	Facility		$2,517.00	$7,000.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,035.00 / $14,981.00	Facility		$2,675.00	$7,035.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,389.08	Facility		$66.00	$100.00	$8,389.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,106.72 / $5,554.45	Facility		$2,277.00	$3,106.72	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $374.91 / $600.21 / $810.28	Professional		$374.91	$600.21	$810.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.09 / $670.05 / $1,234.04	Professional		$490.09	$670.05	$1,234.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,897.12 / $8,957.00 / $26,542.00	Facility		$1,897.12	$8,957.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $536.04 / $666.91 / $977.82	Facility		$536.04	$666.91	$977.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $9,759.00 / $21,278.00	Facility		$4,980.00	$9,759.00	$21,278.00