Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,206.00 / $16,713.00	Facility		$1,174.00	$5,206.00	$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 / $320.35 / $432.47	Professional		$202.53	$320.35	$432.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $361.61 / $640.44	Professional		$262.00	$361.61	$640.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,008.32 / $5,246.20 / $12,000.00	Facility		$1,008.32	$5,246.20	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $367.13 / $486.39	Facility		$290.63	$367.13	$486.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00