Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,778.28 / $6,309.57	Facility		$66.07	$1,778.28	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $660.69 / $1,023.29	Facility		$467.74	$660.69	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $144.54	Professional		$97.72	$107.15	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $281.84	Professional		$93.33	$114.82	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,265.80	Facility		$54.95	$56.23	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $144.54 / $251.19	Facility		$107.15	$144.54	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93