Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,692.68 / $16,713.00	Facility		$1,208.95	$5,692.68	$16,713.00
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 / $5,553.14	Facility		$66.00	$100.00	$5,553.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $390.51 / $527.19	Professional		$183.93	$390.51	$527.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.92 / $440.60 / $779.09	Professional		$338.92	$440.60	$779.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,538.35 / $9,496.40 / $12,000.00	Facility		$1,538.35	$9,496.40	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.06 / $424.96 / $630.66	Facility		$332.06	$424.96	$630.66
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