Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.34 / $5,165.00 / $16,713.00	Facility		$1,269.34	$5,165.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,929.19	Facility		$66.00	$100.00	$6,929.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $232.69 / $1,100.15 / $1,526.77	Professional		$232.69	$1,100.15	$1,526.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.76 / $710.33 / $1,857.79	Professional		$212.76	$710.33	$1,857.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $986.60 / $1,781.09	Facility		$55.00	$986.60	$1,781.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.91 / $1,007.37 / $2,014.74	Facility		$247.91	$1,007.37	$2,014.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00