Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,054.00	Facility		$1,919.00	$6,159.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,441.00 / $16,676.00	Facility		$2,275.00	$8,441.00	$16,676.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,833.23	Facility		$66.00	$100.00	$6,833.23
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 $285.55 / $1,019.40 / $1,376.19	Professional		$285.55	$1,019.40	$1,376.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.61 / $1,062.19 / $2,000.75	Professional		$797.61	$1,062.19	$2,000.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,616.22 / $11,500.00 / $16,394.00	Facility		$4,616.22	$11,500.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.90 / $1,063.48 / $1,468.58	Facility		$828.90	$1,063.48	$1,468.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $316.70 / $316.70 / $316.70	Facility	80	$316.70	$316.70	$316.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,701.06 / $7,042.00 / $14,636.00	Facility		$3,701.06	$7,042.00	$14,636.00