Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,606.93 / $16,982.44	Facility		$2,398.83	$6,606.93	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,466.84 / $22,908.68	Facility		$66.07	$4,466.84	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Facility		$2,089.30	$2,089.30	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $331.13	Professional		$218.78	$245.47	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $537.03	Professional		$218.78	$275.42	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $302.00 / $467.74	Facility		$251.19	$302.00	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96