Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,075.65 / $10,321.00 / $22,788.00	Facility		$2,075.65	$10,321.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $11,824.00 / $25,439.00	Facility		$3,434.00	$11,824.00	$25,439.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,719.51	Facility		$63.90	$100.00	$13,719.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,151.00 / $13,577.00	Facility		$633.00	$2,151.00	$13,577.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.55 / $1,554.98 / $2,885.79	Professional		$1,027.55	$1,554.98	$2,885.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,863.18 / $2,435.83 / $4,839.25	Professional		$1,863.18	$2,435.83	$4,839.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $14,892.24 / $18,678.56	Facility		$2,800.00	$14,892.24	$18,678.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,851.54 / $2,463.50 / $3,554.88	Facility		$1,851.54	$2,463.50	$3,554.88
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