Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,178.00 / $16,713.00	Facility		$1,256.22	$5,178.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.90	Facility		$66.00	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,816.42 / $3,253.30	Facility		$1,487.00	$1,816.42	$3,253.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $306.49 / $841.97	Professional		$202.53	$306.49	$841.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.57 / $692.30 / $1,214.08	Professional		$505.57	$692.30	$1,214.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,937.04 / $5,246.20 / $12,000.00	Facility		$1,937.04	$5,246.20	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.90 / $642.89 / $904.34	Facility		$423.90	$642.89	$904.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,335.00 / $14,743.00	Facility		$3,459.00	$7,335.00	$14,743.00