Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.25 / $4,963.00 / $16,713.00	Facility		$1,199.25	$4,963.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,863.00 / $13,697.00	Facility		$1,196.00	$5,863.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,929.19	Facility		$67.90	$100.00	$6,929.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $2,225.96 / $6,328.57	Facility		$455.00	$2,225.96	$6,328.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $383.84 / $436.80 / $726.08	Professional		$383.84	$436.80	$726.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.39 / $436.44 / $833.18	Professional		$332.39	$436.44	$833.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,305.31 / $10,639.60 / $16,394.00	Facility		$2,305.31	$10,639.60	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.32 / $505.97 / $935.97	Facility		$369.32	$505.97	$935.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00