Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,782.00 / $19,331.00	Facility		$2,387.00	$8,782.00	$19,331.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,785.00 / $10,404.00	Facility		$1,546.00	$4,785.00	$10,404.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,343.60	Facility		$66.00	$100.00	$7,343.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $6,047.65 / $8,243.29	Facility		$705.31	$6,047.65	$8,243.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $863.24 / $1,035.89 / $5,963.79	Professional		$863.24	$1,035.89	$5,963.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.21 / $901.34 / $1,731.04	Professional		$677.21	$901.34	$1,731.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,929.28 / $24,126.55	Facility		$55.00	$3,929.28	$24,126.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $763.85 / $978.82 / $1,596.00	Facility		$763.85	$978.82	$1,596.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $296.66 / $296.66 / $296.66	Facility	80	$296.66	$296.66	$296.66
United Facility/Professional Facility Modifier Low / Median / High Price $5,307.00 / $12,313.00 / $26,451.00	Facility		$5,307.00	$12,313.00	$26,451.00