Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,802.46 / $9,674.00 / $21,960.90	Facility		$2,802.46	$9,674.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $10,324.00 / $21,336.00	Facility		$3,537.00	$10,324.00	$21,336.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $488.09 / $808.98 / $1,092.11	Professional		$488.09	$808.98	$1,092.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.63 / $891.18 / $1,587.23	Professional		$683.63	$891.18	$1,587.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,678.24 / $7,909.30 / $26,542.00	Facility		$3,678.24	$7,909.30	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.96 / $865.76 / $1,218.43	Facility		$679.96	$865.76	$1,218.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00