Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,639.00 / $21,258.00	Facility		$2,421.00	$9,639.00	$21,258.00
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 / $9,497.06	Facility		$66.00	$100.00	$9,497.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,660.00 / $1,988.34	Facility		$705.31	$1,660.00	$1,988.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $523.45 / $808.61 / $1,091.61	Professional		$523.45	$808.61	$1,091.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.36 / $843.35 / $1,589.08	Professional		$633.36	$843.35	$1,589.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,673.92 / $11,500.00 / $26,542.00	Facility		$3,673.92	$11,500.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.75 / $845.05 / $1,307.15	Facility		$588.75	$845.05	$1,307.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00