Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$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 $316.45 / $848.58 / $1,145.58	Professional		$316.45	$848.58	$1,145.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $726.02 / $943.83 / $1,677.98	Professional		$726.02	$943.83	$1,677.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,583.18 / $16,394.00 / $16,547.20	Facility		$4,583.18	$16,394.00	$16,547.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $752.70 / $937.56 / $1,366.52	Facility		$752.70	$937.56	$1,366.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00