Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,980.00 / $16,973.00	Facility		$1,919.00	$5,980.00	$16,973.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
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 $421.82 / $789.08 / $1,065.26	Professional		$421.82	$789.08	$1,065.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.97 / $824.88 / $1,534.59	Professional		$619.97	$824.88	$1,534.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,602.16 / $11,500.00 / $16,394.00	Facility		$3,602.16	$11,500.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $683.24 / $841.45 / $1,262.53	Facility		$683.24	$841.45	$1,262.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00