Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.35 / $8,934.00 / $20,554.00	Facility		$673.35	$8,934.00	$20,554.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $10,275.00 / $21,136.00	Facility		$2,456.00	$10,275.00	$21,136.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $14,991.47	Facility		$66.00	$100.00	$14,991.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.57 / $1,660.00 / $1,988.34	Facility		$1,115.57	$1,660.00	$1,988.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $470.59 / $798.72 / $1,149.51	Professional		$470.59	$798.72	$1,149.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.67 / $769.31 / $1,358.91	Professional		$538.67	$769.31	$1,358.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,840.12 / $3,952.86 / $26,542.00	Facility		$3,840.12	$3,952.86	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $594.79 / $806.90 / $1,134.69	Facility		$594.79	$806.90	$1,134.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00