Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,322.00 / $17,380.00	Facility		$1,174.00	$5,322.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $4,720.00 / $10,404.00	Facility		$1,988.00	$4,720.00	$10,404.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,835.36	Facility		$66.00	$100.00	$5,835.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,480.00 / $3,818.37 / $6,838.87	Facility		$3,480.00	$3,818.37	$6,838.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $302.68 / $363.22 / $572.54	Professional		$302.68	$363.22	$572.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $395.51 / $699.68	Professional		$284.45	$395.51	$699.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.64 / $11,028.25 / $12,000.00	Facility		$1,120.64	$11,028.25	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.66 / $423.69 / $678.30	Facility		$342.66	$423.69	$678.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $9,713.00 / $21,278.00	Facility		$5,200.00	$9,713.00	$21,278.00