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 $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 / $6,833.23	Facility		$66.00	$100.00	$6,833.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,726.46 / $2,353.27	Facility		$705.31	$1,726.46	$2,353.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $617.66 / $833.85	Professional		$213.70	$617.66	$833.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.57 / $638.55 / $1,203.88	Professional		$479.57	$638.55	$1,203.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.66 / $11,500.00 / $16,394.00	Facility		$2,754.66	$11,500.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.13 / $704.25 / $1,148.94	Facility		$542.13	$704.25	$1,148.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,701.06 / $7,106.00 / $14,636.00	Facility		$3,701.06	$7,106.00	$14,636.00