Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,095.04 / $9,833.00 / $22,788.00	Facility		$3,095.04	$9,833.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $8,592.00 / $17,774.00	Facility		$2,456.00	$8,592.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.57 / $2,977.65 / $4,058.71	Facility		$1,115.57	$2,977.65	$4,058.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.31 / $1,355.17 / $2,394.44	Professional		$1,129.31	$1,355.17	$2,394.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $890.67 / $1,184.13 / $2,274.13	Professional		$890.67	$1,184.13	$2,274.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,061.58 / $11,879.05 / $26,542.00	Facility		$6,061.58	$11,879.05	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,075.22 / $1,426.16 / $2,557.30	Facility		$1,075.22	$1,426.16	$2,557.30
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $356.15 / $356.15 / $356.15	Facility	80	$356.15	$356.15	$356.15
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