Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.69 / $9,674.00 / $22,788.00	Facility		$1,125.69	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,484.00 / $18,150.00	Facility		$1,500.00	$8,484.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $9,778.71	Facility		$67.90	$100.00	$9,778.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $10,686.00	Facility		$633.00	$766.00	$10,686.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $515.26 / $779.75 / $1,564.04	Professional		$515.26	$779.75	$1,564.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $972.68 / $1,279.64 / $2,262.23	Professional		$972.68	$1,279.64	$2,262.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,953.99 / $13,960.05	Facility		$55.00	$11,953.99	$13,960.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $898.70 / $1,270.15 / $1,943.71	Facility		$898.70	$1,270.15	$1,943.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,166.00 / $7,275.00 / $16,148.00	Facility		$2,166.00	$7,275.00	$16,148.00