Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $5,829.00 / $16,973.00	Facility		$1,390.35	$5,829.00	$16,973.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,726.46 / $2,353.27	Facility		$499.60	$1,726.46	$2,353.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $456.81 / $872.28 / $1,177.58	Professional		$456.81	$872.28	$1,177.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.42 / $908.85 / $1,712.02	Professional		$682.42	$908.85	$1,712.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,950.88 / $11,500.00 / $16,394.00	Facility		$3,950.88	$11,500.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.48 / $924.25 / $1,395.65	Facility		$735.48	$924.25	$1,395.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00