Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,943.28 / $23,988.33	Facility		$2,511.89	$7,943.28	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,691.53 / $10,715.19	Facility		$66.07	$2,691.53	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $12,022.64 / $25,703.96	Facility		$8,128.31	$12,022.64	$25,703.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $331.13	Professional		$154.88	$245.47	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $501.19	Professional		$199.53	$263.03	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $30,902.95	Facility		$28,840.32	$28,840.32	$30,902.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $338.84 / $537.03	Facility		$251.19	$338.84	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $20,892.96	Facility		$5,623.41	$10,000.00	$20,892.96