Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $7,648.00 / $19,021.00	Facility		$2,700.00	$7,648.00	$19,021.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,824.82	Facility		$66.70	$100.00	$8,824.82
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 $337.30 / $729.67 / $985.05	Professional		$337.30	$729.67	$985.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.12 / $842.24 / $1,510.36	Professional		$650.12	$842.24	$1,510.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,384.36 / $9,388.90 / $26,542.00	Facility		$2,384.36	$9,388.90	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.12 / $875.60 / $1,211.05	Facility		$663.12	$875.60	$1,211.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00