Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,423.00 / $18,483.00	Facility		$1,539.00	$6,423.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,944.00 / $13,697.00	Facility		$1,196.00	$5,944.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,344.10	Facility		$67.90	$100.00	$7,344.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $3,461.93 / $10,261.32	Facility		$535.00	$3,461.93	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $612.42 / $917.73 / $1,238.94	Professional		$612.42	$917.73	$1,238.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.24 / $994.34 / $1,785.19	Professional		$758.24	$994.34	$1,785.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,454.10 / $16,394.00 / $16,547.20	Facility		$4,454.10	$16,394.00	$16,547.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.49 / $988.68 / $1,468.37	Facility		$701.49	$988.68	$1,468.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $11,671.00 / $26,451.00	Facility		$3,570.00	$11,671.00	$26,451.00