Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $6,211.00 / $17,380.00	Facility		$1,390.35	$6,211.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,646.91	Facility		$66.00	$100.00	$7,646.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $789.40 / $1,065.69	Professional		$253.16	$789.40	$1,065.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $862.58 / $1,500.73	Professional		$645.65	$862.58	$1,500.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,418.98 / $16,394.00 / $16,547.20	Facility		$3,418.98	$16,394.00	$16,547.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $774.78 / $1,144.63	Facility		$559.00	$774.78	$1,144.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00