Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $18,252.00	Facility		$2,197.85	$6,695.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,389.08	Facility		$66.00	$100.00	$8,389.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,006.98 / $2,371.89	Facility		$2,006.98	$2,006.98	$2,371.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $398.36 / $502.37 / $2,227.42	Professional		$398.36	$502.37	$2,227.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.78 / $535.51 / $997.35	Professional		$424.78	$535.51	$997.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,681.52 / $9,011.04 / $26,542.00	Facility		$1,681.52	$9,011.04	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.76 / $593.20 / $869.01	Facility		$451.76	$593.20	$869.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,759.00 / $22,073.00	Facility		$4,509.00	$9,759.00	$22,073.00