Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,626.00 / $17,380.00	Facility		$1,820.00	$6,626.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $14,981.00	Facility		$2,275.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $2,256.40 / $3,075.60	Facility		$571.29	$2,256.40	$3,075.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $455.32 / $1,073.61 / $1,449.39	Professional		$455.32	$1,073.61	$1,449.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.25 / $1,102.83 / $2,068.00	Professional		$829.25	$1,102.83	$2,068.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,739.93 / $11,500.00 / $26,542.00	Facility		$4,739.93	$11,500.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $882.27 / $1,085.61 / $1,717.79	Facility		$882.27	$1,085.61	$1,717.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00