Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,634.40 / $8,858.00 / $22,330.11	Facility		$2,634.40	$8,858.00	$22,330.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,592.00 / $17,774.00	Facility		$2,275.00	$8,592.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,132.39	Facility		$66.00	$100.00	$11,132.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.88 / $4,867.92 / $6,635.27	Facility		$802.88	$4,867.92	$6,635.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,487.17 / $2,112.75	Professional		$1,116.90	$1,487.17	$2,112.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,062.40 / $1,413.51 / $2,663.80	Professional		$1,062.40	$1,413.51	$2,663.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,174.60 / $19,420.15 / $26,542.00	Facility		$6,174.60	$19,420.15	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,195.00 / $1,502.94 / $2,141.11	Facility		$1,195.00	$1,502.94	$2,141.11
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $423.86 / $423.86 / $423.86	Facility	80	$423.86	$423.86	$423.86
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,341.00 / $26,451.00	Facility		$5,416.00	$12,341.00	$26,451.00