Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.43 / $9,674.00 / $22,788.00	Facility		$1,110.43	$9,674.00	$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 $463.89 / $702.00 / $1,557.88	Professional		$463.89	$702.00	$1,557.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,014.17 / $1,322.38 / $2,336.82	Professional		$1,014.17	$1,322.38	$2,336.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,733.76 / $8,852.34	Facility		$55.00	$8,733.76	$8,852.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,014.17 / $1,314.18 / $1,859.30	Facility		$1,014.17	$1,314.18	$1,859.30
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