Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.11 / $8,934.00 / $19,860.00	Facility		$1,624.11	$8,934.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,117.03	Facility		$66.00	$100.00	$11,117.03
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 $260.61 / $294.25 / $492.98	Professional		$260.61	$294.25	$492.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.75 / $312.75 / $561.25	Professional		$240.75	$312.75	$561.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,347.84 / $9,388.90 / $26,542.00	Facility		$1,347.84	$9,388.90	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.79 / $334.96 / $513.57	Facility		$261.79	$334.96	$513.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00