Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,982.44	Facility		$2,398.83	$6,456.54	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,090.30 / $7,762.47	Facility		$66.07	$3,090.30	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Facility		$1,202.26	$1,202.26	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $316.23	Professional		$162.18	$213.80	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $478.63	Professional		$213.80	$269.15	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $28,840.32 / $28,840.32	Facility		$5,495.41	$28,840.32	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $478.63	Facility		$251.19	$316.23	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,413.10 / $15,135.61	Facility		$3,890.45	$7,413.10	$15,135.61