Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.72 / $9,690.00 / $22,788.00	Facility		$1,002.72	$9,690.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $10,247.00 / $21,842.00	Facility		$2,822.00	$10,247.00	$21,842.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,422.08	Professional		$505.96	$765.66	$1,422.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $925.18 / $1,205.53 / $2,210.14	Professional		$925.18	$1,205.53	$2,210.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,094.08 / $9,273.20	Facility		$55.00	$9,094.08	$9,273.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $942.33 / $1,218.43 / $1,696.17	Facility		$942.33	$1,218.43	$1,696.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00