Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $7,079.46	Facility		$66.07	$2,570.40	$7,079.46
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 $234.42 / $331.13 / $446.68	Professional		$234.42	$331.13	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $645.65	Professional		$288.40	$363.08	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $19,498.45 / $19,498.45	Facility		$14,454.40	$19,498.45	$19,498.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $630.96	Facility		$309.03	$407.38	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61