Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $8,002.00 / $22,788.00	Facility		$2,608.00	$8,002.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,445.00 / $8,727.00 / $17,774.00	Facility		$3,445.00	$8,727.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $9,422.00	Facility		$66.09	$100.00	$9,422.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.02 / $11,298.00 / $13,208.00	Facility		$2,741.02	$11,298.00	$13,208.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $268.80 / $505.64 / $3,042.08	Professional		$268.80	$505.64	$3,042.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.79 / $568.86 / $1,063.64	Professional		$452.79	$568.86	$1,063.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,226.00 / $12,306.75 / $16,026.00	Facility		$2,226.00	$12,306.75	$16,026.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $481.20 / $636.67 / $957.70	Facility		$481.20	$636.67	$957.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $22,073.00	Facility		$5,116.00	$9,759.00	$22,073.00