Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,626.00 / $17,380.00	Facility		$1,820.00	$6,626.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,945.00 / $13,707.00	Facility		$2,143.00	$6,945.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,833.76	Facility		$66.00	$100.00	$7,833.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $2,977.65 / $4,058.71	Facility		$571.29	$2,977.65	$4,058.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $828.30 / $993.96 / $1,690.20	Professional		$828.30	$993.96	$1,690.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $647.01 / $861.93 / $1,623.14	Professional		$647.01	$861.93	$1,623.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,737.64 / $11,879.05 / $26,542.00	Facility		$3,737.64	$11,879.05	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.50 / $1,007.93 / $1,806.26	Facility		$772.50	$1,007.93	$1,806.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00