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 $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 / $1,380.38 / $5,754.40	Facility		$66.07	$1,380.38	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $1,202.26	Facility		$630.96	$891.25	$1,202.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $407.38	Professional		$213.80	$295.12	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $741.31	Professional		$245.47	$302.00	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $28,840.32 / $28,840.32	Facility		$3,630.78	$28,840.32	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $407.38 / $707.95	Facility		$295.12	$407.38	$707.95
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