Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.00 / $7,000.00 / $22,788.00	Facility		$2,138.00	$7,000.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,663.00 / $6,986.00 / $13,707.00	Facility		$2,663.00	$6,986.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,121.41	Facility		$66.00	$100.00	$7,121.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.41 / $14,825.00 / $17,321.00	Facility		$1,239.41	$14,825.00	$17,321.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $369.32 / $465.74 / $1,375.54	Professional		$369.32	$465.74	$1,375.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.08 / $488.18 / $913.51	Professional		$393.08	$488.18	$913.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,867.35 / $11,500.00 / $16,394.00	Facility		$1,867.35	$11,500.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.46 / $554.75 / $919.73	Facility		$414.46	$554.75	$919.73
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