Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $16,595.87	Facility		$2,187.76	$6,760.83	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,570.88 / $10,000.00	Facility		$2,238.72	$4,570.88	$10,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $5,754.40 / $8,128.31	Facility		$93.33	$5,754.40	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,884.03 / $5,623.41	Facility		$489.78	$2,884.03	$5,623.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $389.05	Professional		$213.80	$263.03	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $575.44	Professional		$181.97	$223.87	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $338.84 / $602.56	Facility		$218.78	$338.84	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $10,471.29 / $30,902.95	Facility		$2,691.53	$10,471.29	$30,902.95