Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,695.00 / $17,809.00	Facility		$2,387.00	$6,695.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $8,727.00 / $17,774.00	Facility		$2,822.00	$8,727.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,210.56	Facility		$66.00	$100.00	$9,210.56
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 $432.24 / $609.28 / $822.53	Professional		$432.24	$609.28	$822.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.86 / $699.91 / $1,249.20	Professional		$538.86	$699.91	$1,249.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,970.12 / $9,388.90 / $26,542.00	Facility		$1,970.12	$9,388.90	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $551.23 / $729.94 / $984.05	Facility		$551.23	$729.94	$984.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00