Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.90 / $9,665.00 / $21,960.90	Facility		$1,435.90	$9,665.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,289.00 / $26,404.93	Facility		$4,446.00	$11,289.00	$26,404.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,300.60	Facility		$63.90	$100.00	$7,300.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $4,340.00 / $4,340.00	Facility		$4,340.00	$4,340.00	$4,340.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,245.33 / $1,677.07 / $2,264.04	Professional		$1,245.33	$1,677.07	$2,264.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,411.06 / $1,939.56 / $3,597.34	Professional		$1,411.06	$1,939.56	$3,597.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $13,285.17 / $15,976.53	Facility		$5,000.00	$13,285.17	$15,976.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,544.68 / $1,917.15 / $2,812.69	Facility		$1,544.68	$1,917.15	$2,812.69
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00