Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,695.00 / $17,809.00	Facility		$1,174.00	$6,695.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,114.52	Facility		$66.00	$100.00	$8,114.52
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 $168.65 / $212.68 / $319.02	Professional		$168.65	$212.68	$319.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.17 / $234.33 / $412.41	Professional		$181.17	$234.33	$412.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,172.50 / $9,388.90 / $26,542.00	Facility		$1,172.50	$9,388.90	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.62 / $291.89 / $446.35	Facility		$212.62	$291.89	$446.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00