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 / $16,573.00	Facility		$1,256.22	$5,178.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,305.65	Facility		$66.00	$100.00	$5,305.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $1,726.46 / $2,353.27	Facility		$372.64	$1,726.46	$2,353.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $413.25 / $619.88 / $781.73	Professional		$413.25	$619.88	$781.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.56 / $597.61 / $1,111.48	Professional		$448.56	$597.61	$1,111.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,593.56 / $11,500.00 / $12,000.00	Facility		$2,593.56	$11,500.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.62 / $651.66 / $1,072.00	Facility		$511.62	$651.66	$1,072.00
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