Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,902.00 / $9,731.00 / $21,479.00	Facility		$3,902.00	$9,731.00	$21,479.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,830.00 / $19,252.00	Facility		$3,403.00	$9,830.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $21,563.06	Facility		$66.00	$100.00	$21,563.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.09 / $13,334.00 / $14,932.00	Facility		$6,185.09	$13,334.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,115.78 / $1,407.09 / $2,110.64	Professional		$1,115.78	$1,407.09	$2,110.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,260.80 / $1,614.40 / $2,930.89	Professional		$1,260.80	$1,614.40	$2,930.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,194.90 / $26,542.00 / $27,770.10	Facility		$8,194.90	$26,542.00	$27,770.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,345.33 / $1,727.16 / $2,433.75	Facility		$1,345.33	$1,727.16	$2,433.75
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,571.00	Facility		$7,696.00	$13,722.00	$29,571.00