Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $22,908.68	Facility		$4,466.84	$10,000.00	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,122.02	Professional		$457.09	$691.83	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,698.24	Professional		$724.44	$891.25	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,585.78	Facility		$54.95	$56.23	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,698.24	Facility		$776.25	$1,047.13	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,244.36 / $15,135.61	Facility		$2,951.21	$7,244.36	$15,135.61