Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,606.93 / $19,054.61	Facility		$2,454.71	$6,606.93	$19,054.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,549.93	Facility		$66.07	$3,630.78	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,801.89	Facility		$3,162.28	$3,162.28	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,122.02	Professional		$436.52	$562.34	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $891.25	Professional		$380.19	$478.63	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $28,840.32 / $28,840.32	Facility		$14,454.40	$28,840.32	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $977.24	Facility		$436.52	$575.44	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96