Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $870.96 / $5,754.40	Facility		$66.07	$870.96	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,258.93	Facility		$398.11	$645.65	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $186.21	Professional		$112.20	$125.89	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $295.12	Professional		$93.33	$114.82	$295.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $19,498.45 / $19,498.45	Facility		$2,754.23	$19,498.45	$19,498.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $162.18 / $295.12	Facility		$112.20	$162.18	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,168.69 / $9,549.93	Facility		$1,737.80	$4,168.69	$9,549.93