Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $20,892.96	Facility		$4,168.69	$10,000.00	$20,892.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,235.94 / $12,302.69	Facility		$66.07	$3,235.94	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,445.44 / $1,995.26	Facility		$794.33	$1,445.44	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,071.52 / $1,445.44	Professional		$446.68	$1,071.52	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $2,041.74	Professional		$831.76	$1,071.52	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $42,657.95 / $42,657.95	Facility		$6,456.54	$42,657.95	$42,657.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,778.28	Facility		$912.01	$1,202.26	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61