Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $9,560.00 / $21,960.90	Facility		$2,197.85	$9,560.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $9,043.00 / $19,398.00	Facility		$1,700.00	$9,043.00	$19,398.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $11,539.24	Facility		$67.90	$100.00	$11,539.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $3,461.93 / $10,261.32	Facility		$633.00	$3,461.93	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $634.15 / $856.10	Professional		$421.82	$634.15	$856.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.46 / $679.92 / $1,306.72	Professional		$517.46	$679.92	$1,306.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,993.70 / $16,547.20 / $26,542.00	Facility		$2,993.70	$16,547.20	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $539.96 / $718.69 / $1,105.03	Facility		$539.96	$718.69	$1,105.03
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