Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $12,301.00 / $25,813.00	Facility		$2,387.00	$12,301.00	$25,813.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,022.00 / $11,046.00 / $23,736.18	Facility		$3,022.00	$11,046.00	$23,736.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $2,151.00 / $13,439.00	Facility		$643.00	$2,151.00	$13,439.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.57 / $1,938.09 / $2,663.10	Professional		$1,024.57	$1,938.09	$2,663.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,683.32 / $2,193.75 / $4,184.21	Professional		$1,683.32	$2,193.75	$4,184.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $20,718.24 / $25,503.84	Facility		$2,800.00	$20,718.24	$25,503.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,281.50 / $3,514.49	Facility		$1,755.00	$2,281.50	$3,514.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $13,205.00 / $29,312.00	Facility		$4,169.00	$13,205.00	$29,312.00