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 / $4,570.88 / $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 / $2,754.23 / $7,079.46	Facility		$66.07	$2,754.23	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,801.89	Facility		$3,162.28	$3,162.28	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $602.56	Professional		$302.00	$398.11	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $741.31	Professional		$281.84	$426.58	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $19,498.45 / $19,498.45	Facility		$14,454.40	$19,498.45	$19,498.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $891.25	Facility		$331.13	$512.86	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61