Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $5,570.00 / $17,902.00	Facility		$1,482.00	$5,570.00	$17,902.00
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 / $5,620.13	Facility		$66.00	$100.00	$5,620.13
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 $306.02 / $566.14 / $764.29	Professional		$306.02	$566.14	$764.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.70 / $650.25 / $1,144.44	Professional		$500.70	$650.25	$1,144.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,830.96 / $9,388.90 / $12,000.00	Facility		$1,830.96	$9,388.90	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $500.70 / $654.89 / $910.60	Facility		$500.70	$654.89	$910.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00