Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $7,281.00 / $19,860.00	Facility		$1,820.00	$7,281.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,797.00 / $13,326.00	Facility		$1,450.00	$6,797.00	$13,326.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,826.58	Facility		$67.90	$100.00	$7,826.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,766.05 / $4,917.14	Facility		$611.00	$1,766.05	$4,917.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.98 / $842.26 / $1,137.05	Professional		$416.98	$842.26	$1,137.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.87 / $917.80 / $1,657.17	Professional		$700.87	$917.80	$1,657.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,155.78 / $7,929.30 / $26,542.00	Facility		$4,155.78	$7,929.30	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.53 / $934.49 / $1,347.62	Facility		$710.53	$934.49	$1,347.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,825.00 / $9,291.00 / $20,988.00	Facility		$1,825.00	$9,291.00	$20,988.00