Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.00 / $6,423.00 / $17,986.03	Facility		$2,138.00	$6,423.00	$17,986.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
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 $537.23 / $780.90 / $1,054.22	Professional		$537.23	$780.90	$1,054.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.66 / $900.36 / $1,614.19	Professional		$694.66	$900.36	$1,614.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,546.23 / $14,302.50 / $16,394.00	Facility		$2,546.23	$14,302.50	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.71 / $938.51 / $1,373.71	Facility		$713.71	$938.51	$1,373.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,454.00 / $16,148.00	Facility		$3,800.00	$7,454.00	$16,148.00