Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,982.44	Facility		$2,398.83	$6,456.54	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,548.82 / $7,762.47	Facility		$66.07	$1,548.82	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,000.00 / $1,659.59	Facility		$467.74	$1,000.00	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $257.04	Professional		$169.82	$190.55	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $398.11	Professional		$158.49	$194.98	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $28,840.32 / $28,840.32	Facility		$4,897.79	$28,840.32	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $467.74	Facility		$186.21	$257.04	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93