Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $10,000.00 / $19,952.62	Facility		$2,398.83	$10,000.00	$19,952.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,096.48 / $5,754.40	Facility		$66.07	$1,096.48	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $151.36	Professional		$77.62	$100.00	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $302.00	Professional		$66.07	$87.10	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,691.53	Facility		$54.95	$56.23	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $102.33 / $218.78	Facility		$74.13	$102.33	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $7,943.28	Facility		$1,445.44	$2,884.03	$7,943.28