Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,982.44	Facility		$2,398.83	$6,456.54	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,584.89 / $7,762.47	Facility		$66.07	$1,584.89	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $1,659.59	Facility		$537.03	$1,023.29	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $295.12	Professional		$158.49	$199.53	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $380.19	Professional		$128.82	$158.49	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $28,840.32 / $28,840.32	Facility		$4,897.79	$28,840.32	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $229.09 / $478.63	Facility		$154.88	$229.09	$478.63
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