Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,695.00 / $20,509.00	Facility		$2,387.00	$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 $643.00 / $5,204.35 / $13,898.85	Facility		$643.00	$5,204.35	$13,898.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $445.11 / $4,570.72 / $6,368.16	Professional		$445.11	$4,570.72	$6,368.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $3,738.39 / $7,269.10	Professional		$409.00	$3,738.39	$7,269.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,352.00 / $2,415.60	Facility		$55.00	$2,352.00	$2,415.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.50 / $3,508.15 / $6,993.44	Facility		$434.50	$3,508.15	$6,993.44
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