Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $6,423.00 / $18,293.00	Facility		$1,390.35	$6,423.00	$18,293.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,855.98	Facility		$67.90	$100.00	$5,855.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $1,766.05 / $4,917.14	Facility		$643.00	$1,766.05	$4,917.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $670.14 / $1,051.55 / $1,419.59	Professional		$670.14	$1,051.55	$1,419.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.21 / $1,147.25 / $1,950.00	Professional		$877.21	$1,147.25	$1,950.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,920.96 / $7,929.30	Facility		$55.00	$6,920.96	$7,929.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $905.04 / $1,169.61 / $1,775.23	Facility		$905.04	$1,169.61	$1,775.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $9,291.00 / $20,988.00	Facility		$2,070.00	$9,291.00	$20,988.00