Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,178.00 / $16,573.00	Facility		$1,208.95	$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 / $5,297.78	Facility		$66.00	$100.00	$5,297.78
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 $210.72 / $525.51 / $709.44	Professional		$210.72	$525.51	$709.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.33 / $538.90 / $1,018.20	Professional		$405.33	$538.90	$1,018.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,312.88 / $11,500.00 / $12,000.00	Facility		$2,312.88	$11,500.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.66 / $554.53 / $841.25	Facility		$434.66	$554.53	$841.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,070.50 / $4,060.00 / $9,131.00	Facility		$2,070.50	$4,060.00	$9,131.00