Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $8,674.26 / $20,509.00	Facility		$2,700.00	$8,674.26	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,410.00 / $19,158.00	Facility		$2,675.00	$8,410.00	$19,158.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,719.01 / $13,577.00	Facility		$633.00	$1,719.01	$13,577.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.33 / $1,643.74 / $2,162.75	Professional		$1,143.33	$1,643.74	$2,162.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,386.52 / $1,813.40 / $3,334.83	Professional		$1,386.52	$1,813.40	$3,334.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $9,761.36 / $12,240.97	Facility		$2,800.00	$9,761.36	$12,240.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,431.00 / $1,848.70 / $2,651.81	Facility		$1,431.00	$1,848.70	$2,651.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00