Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $10,289.00 / $22,788.00	Facility		$2,387.00	$10,289.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $637.75 / $965.10 / $2,067.38	Professional		$637.75	$965.10	$2,067.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,356.60 / $1,768.85 / $3,466.83	Professional		$1,356.60	$1,768.85	$3,466.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,430.08 / $13,701.52	Facility		$55.00	$13,430.08	$13,701.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,356.60 / $1,764.49 / $2,487.09	Facility		$1,356.60	$1,764.49	$2,487.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00