Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,532.00 / $17,054.00	Facility		$1,335.00	$5,532.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,999.02	Facility		$66.00	$100.00	$5,999.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $595.30 / $729.79 / $985.22	Professional		$595.30	$729.79	$985.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.66 / $839.26 / $1,480.27	Professional		$648.66	$839.26	$1,480.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,158.97 / $12,000.00 / $14,302.50	Facility		$4,158.97	$12,000.00	$14,302.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.85 / $878.95 / $1,220.94	Facility		$672.85	$878.95	$1,220.94
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00