Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $5,812.00 / $16,803.53	Facility		$1,482.00	$5,812.00	$16,803.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,981.41	Facility		$66.00	$100.00	$5,981.41
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 $182.05 / $471.30 / $636.26	Professional		$182.05	$471.30	$636.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.12 / $540.79 / $969.50	Professional		$416.12	$540.79	$969.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,520.36 / $9,388.90 / $12,000.00	Facility		$1,520.36	$9,388.90	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $388.75 / $522.63 / $755.14	Facility		$388.75	$522.63	$755.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,713.00 / $21,278.00	Facility		$4,110.00	$9,713.00	$21,278.00