Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $8,479.00 / $20,509.00	Facility		$1,956.72	$8,479.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,966.32 / $19,252.00	Facility		$2,675.00	$8,966.32	$19,252.00
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 $661.20 / $1,000.60 / $1,434.54	Professional		$661.20	$1,000.60	$1,434.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $927.08 / $1,210.99 / $2,299.10	Professional		$927.08	$1,210.99	$2,299.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,081.92 / $9,313.36	Facility		$55.00	$9,081.92	$9,313.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.02 / $1,246.88 / $1,915.19	Facility		$968.02	$1,246.88	$1,915.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,336.00 / $9,451.00 / $20,828.00	Facility		$4,336.00	$9,451.00	$20,828.00