Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.18 / $9,674.00 / $22,788.00	Facility		$1,063.18	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,192.00 / $18,150.00	Facility		$2,616.00	$8,192.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $670.14 / $1,014.12 / $1,504.32	Professional		$670.14	$1,014.12	$1,504.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $970.52 / $1,269.33 / $2,429.19	Professional		$970.52	$1,269.33	$2,429.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,321.87 / $8,519.28	Facility		$55.00	$8,321.87	$8,519.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,015.47 / $1,314.94 / $1,851.47	Facility		$1,015.47	$1,314.94	$1,851.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00