Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $10,289.00 / $22,788.00	Facility		$2,387.00	$10,289.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $10,524.00 / $21,623.00	Facility		$2,143.00	$10,524.00	$21,623.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $14,865.02	Facility		$67.90	$100.00	$14,865.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.00 / $3,685.47 / $10,261.32	Facility		$766.00	$3,685.47	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $960.25 / $1,296.33	Professional		$505.96	$960.25	$1,296.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.81 / $1,042.21 / $1,872.64	Professional		$794.81	$1,042.21	$1,872.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,676.39 / $16,547.20 / $26,542.00	Facility		$4,676.39	$16,547.20	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $829.93 / $1,106.56 / $1,696.05	Facility		$829.93	$1,106.56	$1,696.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $11,228.00 / $26,109.00	Facility		$2,673.00	$11,228.00	$26,109.00