Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,684.77 / $9,890.87 / $22,788.00	Facility		$1,684.77	$9,890.87	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,276.00 / $22,145.00	Facility		$3,585.00	$11,276.00	$22,145.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,674.20	Facility		$66.00	$100.00	$15,674.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $5,980.00 / $5,980.00	Facility		$5,980.00	$5,980.00	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.22 / $1,906.78 / $2,552.21	Professional		$1,349.22	$1,906.78	$2,552.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,597.82 / $2,204.80 / $3,976.43	Professional		$1,597.82	$2,204.80	$3,976.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $18,334.58 / $22,572.22	Facility		$5,000.00	$18,334.58	$22,572.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,810.87 / $2,219.19 / $3,120.00	Facility		$1,810.87	$2,219.19	$3,120.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $14,160.00 / $33,317.00	Facility		$7,212.00	$14,160.00	$33,317.00