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 $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,630.27 / $7,762.47	Facility		$66.07	$2,630.27	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Facility		$2,089.30	$2,089.30	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $346.74	Professional		$128.82	$194.98	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $537.03	Professional		$239.88	$295.12	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $28,840.32 / $28,840.32	Facility		$9,332.54	$28,840.32	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $512.86	Facility		$269.15	$338.84	$512.86
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