Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.33 / $9,665.00 / $21,960.90	Facility		$1,482.33	$9,665.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,653.00 / $11,222.00 / $26,030.80	Facility		$4,653.00	$11,222.00	$26,030.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $764.70 / $1,157.22 / $2,044.83	Professional		$764.70	$1,157.22	$2,044.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,351.51 / $1,877.10 / $3,392.09	Professional		$1,351.51	$1,877.10	$3,392.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $19,606.02 / $23,842.70	Facility		$5,897.00	$19,606.02	$23,842.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,502.91 / $1,849.54 / $2,530.13	Facility		$1,502.91	$1,849.54	$2,530.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $27,818.00	Facility		$2,009.00	$5,123.00	$27,818.00