Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,705.00	Facility		$1,759.00	$4,814.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,403.01	Facility		$66.00	$100.00	$5,403.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,903.10 / $4,612.76 / $10,867.25	Facility		$3,903.10	$4,612.76	$10,867.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $563.40 / $836.11	Professional		$372.30	$563.40	$836.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.14 / $712.24 / $1,266.65	Professional		$550.14	$712.24	$1,266.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,671.60 / $12,000.00 / $17,524.30	Facility		$5,671.60	$12,000.00	$17,524.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $517.27 / $675.46 / $1,028.33	Facility		$517.27	$675.46	$1,028.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,213.00 / $9,131.00	Facility		$2,048.00	$4,213.00	$9,131.00