Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.21 / $6,695.00 / $20,509.00	Facility		$1,378.21	$6,695.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,465.00 / $11,456.00	Facility		$1,200.00	$4,465.00	$11,456.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $782.63 / $8,493.03	Facility		$67.90	$782.63	$8,493.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $5,133.27 / $13,709.01	Facility		$633.00	$5,133.27	$13,709.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $248.72 / $4,189.49 / $5,981.94	Professional		$248.72	$4,189.49	$5,981.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.50 / $2,423.87 / $6,520.10	Professional		$227.50	$2,423.87	$6,520.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,427.84 / $6,427.84	Facility		$55.00	$6,427.84	$6,427.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.69 / $3,133.76 / $6,386.04	Facility		$253.69	$3,133.76	$6,386.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $13,116.00 / $29,312.00	Facility		$4,169.00	$13,116.00	$29,312.00