Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $6,435.00 / $18,293.00	Facility		$1,390.35	$6,435.00	$18,293.00
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 $66.70 / $100.00 / $7,692.77	Facility		$66.70	$100.00	$7,692.77
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 $212.21 / $233.43 / $422.55	Professional		$212.21	$233.43	$422.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $245.50 / $435.00	Professional		$189.97	$245.50	$435.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.83 / $9,133.70 / $16,394.00	Facility		$1,222.83	$9,133.70	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.40 / $259.95 / $406.98	Facility		$196.40	$259.95	$406.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $15,471.00	Facility		$3,459.00	$7,352.00	$15,471.00