Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$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 / $2,238.72 / $7,762.47	Facility		$66.07	$2,238.72	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $1,659.59	Facility		$537.03	$1,023.29	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $316.23	Professional		$190.55	$213.80	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $478.63	Professional		$158.49	$194.98	$478.63
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 / $478.63	Facility		$186.21	$257.04	$478.63
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