Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.70 / $6,695.00 / $17,809.00	Facility		$1,220.70	$6,695.00	$17,809.00
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 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.30 / $2,404.17 / $5,664.01	Facility		$2,034.30	$2,404.17	$5,664.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $234.91 / $350.72	Professional		$185.41	$234.91	$350.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.56 / $272.02 / $487.12	Professional		$210.56	$272.02	$487.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,355.76 / $9,133.70 / $26,542.00	Facility		$1,355.76	$9,133.70	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.62 / $292.41 / $490.83	Facility		$217.62	$292.41	$490.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,218.00 / $10,979.00	Facility		$2,230.00	$4,218.00	$10,979.00