Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $16,595.87	Facility		$1,584.89	$6,025.60	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,778.28 / $5,754.40	Facility		$66.07	$1,778.28	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,000.00 / $2,238.72	Facility		$398.11	$1,000.00	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $478.63	Professional		$104.71	$208.93	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $245.47 / $512.86	Professional		$95.50	$245.47	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $19,498.45 / $19,498.45	Facility		$4,897.79	$19,498.45	$19,498.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $269.15 / $501.19	Facility		$112.20	$269.15	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93