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 $380.19 / $489.78 / $741.31	Professional		$380.19	$489.78	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $891.25	Professional		$346.74	$524.81	$891.25
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 $426.58 / $630.96 / $1,023.29	Facility		$426.58	$630.96	$1,023.29
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