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 / $16,595.87	Facility		$1,737.80	$6,025.60	$16,595.87
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 / $2,570.40 / $6,025.60	Facility		$66.07	$2,570.40	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $794.33 / $1,621.81	Facility		$398.11	$794.33	$1,621.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $295.12	Professional		$104.71	$199.53	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $549.54	Professional		$173.78	$218.78	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $19,498.45 / $19,498.45	Facility		$3,630.78	$19,498.45	$19,498.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $416.87	Facility		$186.21	$251.19	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $9,549.93	Facility		$1,778.28	$4,168.69	$9,549.93