Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.21 / $9,674.00 / $22,788.00	Facility		$1,175.21	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
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 $590.47 / $893.56 / $1,647.57	Professional		$590.47	$893.56	$1,647.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,075.24 / $1,402.63 / $2,661.40	Professional		$1,075.24	$1,402.63	$2,661.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,605.92 / $10,847.92	Facility		$55.00	$10,605.92	$10,847.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.09 / $1,451.16 / $2,198.40	Facility		$1,122.09	$1,451.16	$2,198.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00