Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.00 / $6,680.97 / $17,380.00	Facility		$1,353.00	$6,680.97	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,804.58	Facility		$66.00	$100.00	$5,804.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $285.88 / $1,068.86 / $1,819.83	Professional		$285.88	$1,068.86	$1,819.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $824.00 / $1,981.14	Professional		$261.29	$824.00	$1,981.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,081.44 / $2,122.67	Facility		$55.00	$2,081.44	$2,122.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.49 / $1,044.58 / $1,854.81	Facility		$304.49	$1,044.58	$1,854.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,713.00 / $21,278.00	Facility		$4,509.00	$9,713.00	$21,278.00